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Individual

BERNARD A. GISERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
53 C GRANITE STREET, NEW LONDON, CT 06320
(860) 442-8817
(860) 442-2011
Mailing address
53 C GRANITE STREET, NEW LONDON, CT 06320
(860) 442-8817
(860) 442-2011

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
027135
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001271352-00
BLUE CARE FAMILY PLAN
01
010027135CT01
BLUE CROSS
01
NLP073
OXFORD
01
OV6153
HEALTH NET
Enumeration date
09/22/2006
Last updated
07/08/2007
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