Individual
MS. CATHERINE JOSEPHINE LUCHINI GERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 NEHOIDEN RD, WABAN, MA 02468-1925
(617) 244-0587
(617) 244-6385
Mailing address
111 NEHOIDEN RD, WABAN, MA 02468-1925
(617) 244-0587
(617) 244-6385
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1769
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1361139
AETNA
MA
01
—
AA54250
HARVARD PILGRIM HEALTH
MA
01
—
Y65466
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/02/2007
Last updated
07/08/2007
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