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Individual

BRUCE EDWARD GERBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208752
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01861034
NY
01
1829012
UNITED
01
2008776
AETNA HMO
01
208752
HIP
01
2639504006
CIGNA
01
2699380
GHI PPO
01
2C1647
HEALTHNET GUARDIAN
01
5220605
AETNA PPO
01
549131
BC
01
86113P
VYTRA
01
AA70464
MDNY
01
P1021651
OXFORD
Enumeration date
05/18/2006
Last updated
10/17/2008
Update your record

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