Individual
DR. JACK GERSHENHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 W HANOVER AVE, SUITE 101, RANDOLPH, NJ 07869-4221
(973) 895-4333
(973) 895-4880
Mailing address
10 W HANOVER AVE, SUITE 101, RANDOLPH, NJ 07869-4221
(973) 895-4333
(973) 895-4880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10283
NJ
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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