Individual
MISS IRENE GERSCHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
7476 E ARKANSAS AVE APT 3909, DENVER, CO 80231-2549
(720) 748-0370
Mailing address
7476 E ARKANSAS AVE APT 3909, DENVER, CO 80231-2549
(720) 748-0370
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
ACB 7167
CO
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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