Individual
CARL K GJERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, UROLOGY, FARMINGTON, CT 06030-6227
(860) 679-4100
(860) 679-1390
Mailing address
331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220, RED BANK, NJ 07701
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
045171
CT
208800000X
Urology Physician
Primary
25MA12258300
NJ
2088P0231X
Pediatric Urology Physician
045171
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063472017
—
CT
Enumeration date
03/24/2006
Last updated
11/12/2025
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