Individual
MR. RUSS GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 FIELDSTONE LN, NATICK, MA 01760-5560
(617) 838-7251
Mailing address
4 FIELDSTONE LN, NATICK, MA 01760-5560
(617) 838-7251
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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