Individual
LEROY T GERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 FOXFIELDS RD, BRYN MAWR, PA 19010-2056
(610) 520-0770
Mailing address
611 FOXFIELDS RD, BRYN MAWR, PA 19010-2056
(610) 520-0770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 007963E
PA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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