Individual
GENNADY GELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
198 CHARLTON RD, STURBRIDGE, MA 01566
(508) 347-9240
(508) 347-5361
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-140746
IL
207Q00000X
Family Medicine Physician
Primary
257429
MA
207Q00000X
Family Medicine Physician
ME125545
FL
Other
Enumeration date
09/03/2013
Last updated
01/15/2019
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