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Individual

DAVID S GENDELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
55101
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043070848015
BCBS
01
0800236
UNITED HEALTHCARE
01
108
SECURE HORIZONS NEEC
01
15316
HARVARD COMM HEALTH
05
3001067
MA
01
8180
CIGNA HEALTHSOURCE
01
991743
NETWORK HEALTH
01
CE5062
RAILROAD MEDICARE
01
GEJ04746
BCBS OF CONNECTICUT
Enumeration date
07/05/2005
Last updated
07/21/2025
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