Organization
GREGORY D KERSH D C P C
Active
Other names
NEW TOWN CHIROPRACTIC & PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY D. KERSH D.C. (PRESIDENT, OWNER)
(410) 998-3111
Entity
Organization
Contact information
Practice address
9351 LAKESIDE BLVD, SUITE 203, OWINGS MILLS, MD 21117-5062
(410) 998-3111
(410) 998-3113
Mailing address
9351 LAKESIDE BLVD, SUITE 203, OWINGS MILLS, MD 21117-5062
(410) 998-3111
(410) 998-3113
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
S01706
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187205YBVU
MEDICARE PTAN INDIVIDUAL
MD
01
—
187207
MEDICARE PTAN -DBA - NEW TOWN CHIRO...
MD
01
—
297921
MAMSI, MDIPA, OPT CH. ID
MH
01
—
4595917
AETNA ID NUMBER
MH
01
—
E301
BLUE CHOICE,FEDERAL BCBS
MD
01
—
M453
CAREFIRST BCBS ID
MD
Enumeration date
05/01/2007
Last updated
09/10/2012
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