Individual
KENNETH K GERWECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 GORE ST, EAST CAMBRIDGE, MA 02141-1119
(617) 665-3000
(617) 665-3099
Mailing address
163 GORE ST, EAST CAMBRIDGE, MA 02141-1119
(617) 665-3000
(617) 665-3099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213776
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
213776
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2063221
—
MA
Enumeration date
01/06/2006
Last updated
07/19/2013
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