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STEVEN LLOYD GERSHON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1133 FIRST COLONIAL RD., VIRGINIA BEACH, VA 23454-2402
(757) 496-2050
(757) 689-4357
Mailing address
1133 FIRST COLONIAL RD., VIRGINIA BEACH, VA 23454-2402
(757) 496-2050
(757) 689-4357

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101048068
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073541736
VA
01
17203
SENTARA/ OPTIMA
VA
01
2300055
UNITED HEALTH CARE
01
279949
ANTHEM
VA
01
285460178
TRICARE
01
6668240001
MEDICARE NSC
05
690616G
NC
01
P00420531
MEDICARE RAILROAD
VA
Enumeration date
06/29/2006
Last updated
06/29/2012
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