Organization
JOSEF GENDLERMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEF GENDLERMAN (OWNER)
(978) 682-0973
Entity
Organization
Contact information
Practice address
360 MERRIMACK ST, BLDG 9 SUITE 303, LAWRENCE, MA 01843
(978) 682-0973
(978) 682-3138
Mailing address
360 MERRIMACK ST, BLDG 9 SUITE 303, LAWRENCE, MA 01843
(978) 682-0973
(978) 682-3138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59700
MA
207R00000X
Internal Medicine Physician
70546
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9776097
—
MA
01
—
M16219
BCBS
MA
Enumeration date
09/13/2007
Last updated
11/09/2012
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