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Individual

DR. GLORIA ISABEL GERSTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM MS

Contact information

Practice address
4801 LANG AVE NE, SUITE 110, ALBUQUERQUE, NM 87109-4474
(505) 892-9700
(505) 892-1210
Mailing address
4801 LANG AVE NE, SUITE 110, ALBUQUERQUE, NM 87109-4474
(505) 892-9700
(505) 892-1210

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1378
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
307
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10007865
NM
01
11647136
CAQH
NM
01
215K7GE
BC BS
01
2700428
MEDICA
01
585241041567
PREFERRED ONE
01
NM00086
MEDICARE PTAN INDIVIDUAL
NM
01
NM009A43
BCBS
NM
01
NM400263
MEDICARE PTAN INDIVIDUAL
NM
Enumeration date
05/17/2006
Last updated
05/06/2013
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