Individual
BRIAN R. GEBHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
290033
MA
207L00000X
Anesthesiology Physician
MD2016-0121
NM
Other
Enumeration date
06/18/2011
Last updated
09/28/2021
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