Individual
DR. GEROME B KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 E ERICKSON DR STE 108, TUCSON, AZ 85712-2809
(520) 721-5330
(520) 547-5743
Mailing address
4801 E BROADWAY BLVD STE 251, TUCSON, AZ 85711-3633
(520) 327-0460
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30059663
TAT
AS
01
—
9882377
CIGNA
AZ
01
—
AZ0764240
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/09/2005
Last updated
04/03/2026
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