Individual
HARALD GJERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE # FEGAN4, BOSTON, MA 02115-5724
(617) 355-6401
Mailing address
300 LONGWOOD AVE # FEGAN4, BOSTON, MA 02115-5724
(617) 355-6401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
283165
MA
207W00000X
Ophthalmology Physician
Primary
286493
MA
Other
Enumeration date
07/20/2020
Last updated
03/08/2021
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