Individual
DR. MITCHELL MARK GERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
906 BROADWAY, EVERETT, MA 02149-3126
(617) 387-6118
Mailing address
906 BROADWAY, EVERETT, MA 02149-3126
(617) 387-6118
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1699
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0350613
—
MA
Enumeration date
03/26/2007
Last updated
07/08/2007
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