Organization
EMILY PORTER GERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY PORTER GERSON MD (OWNER)
(202) 991-9000
Entity
Organization
Contact information
Practice address
4910 MASSACHUSETTS AVE NW STE 302, WASHINGTON, DC 20016-4388
(202) 991-9000
(202) 793-4900
Mailing address
4910 MASSACHUSETTS AVE NW STE 302, WASHINGTON, DC 20016-4388
(202) 991-9000
(202) 793-4900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D61064
MEDICAL LICENSE
MD
Enumeration date
04/21/2021
Last updated
04/21/2021
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