Individual
DR. KENNETH GERSHENGORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 BEACON ST., BROOKLINE, MA 02446-5587
(617) 738-1961
(617) 734-2348
Mailing address
1101 BEACON ST., BROOKLINE, MA 02446-5587
(617) 738-1961
(617) 734-2348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
33105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027208
—
MA
Enumeration date
06/08/2006
Last updated
11/06/2008
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