Individual
DR. GERALD BENJAMIN DOERSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7164
(209) 558-8723
Mailing address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7164
(209) 558-8723
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
08271
ZZ
207V00000X
Obstetrics & Gynecology Physician
Primary
A49166
CA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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