Individual
DR. KALLA ALEXIS GERVASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
248 PLEASANT ST STE 1600, CONCORD, NH 03301-2588
(603) 224-2020
(603) 228-0248
Mailing address
248 PLEASANT ST STE 1600, CONCORD, NH 03301-2588
(603) 224-2020
(603) 228-0248
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
25190
NH
Other
Enumeration date
03/31/2017
Last updated
07/09/2024
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