Individual
DR. EMILY PORTER GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4910 MASSACHUSETTS AVE NW STE 302, WASHINGTON, DC 20016-4388
(202) 991-9000
(202) 793-4900
Mailing address
4910 MASSACHUSETTS AVE NW STE 302, WASHINGTON, DC 20016-4388
(202) 991-9000
(202) 793-4900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D61064
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F1388
PTAN
DC
01
—
MD034213
DC MD LICENSE
DC
Enumeration date
08/10/2006
Last updated
09/23/2020
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