Organization
MARK GERSHENBAUM, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GERSHENBAUM MD (OWNER)
(732) 255-2252
Entity
Organization
Contact information
Practice address
80 SCENIC DR, SUITE 3, FREEHOLD, NJ 07728-5210
(732) 255-2252
Mailing address
80 SCENIC DR, SUITE 3, FREEHOLD, NJ 07728-5210
(732) 255-2252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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