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Individual

DR. MICHAEL LANCE GERSTENFELD

Active
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Individual

DR. MICHAEL LANCE GERSTENFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
031959
CT
207QA0505X
Adult Medicine Physician
31959
CT
207QS0010X
Sports Medicine (Family Medicine) Physician
031959
CT
207R00000X
Internal Medicine Physician
Primary
031959
CT
2083P0901X
Public Health & General Preventive Medicine Physician
31959
CT

Other

Enumeration date
03/08/2007
Last updated
12/31/2011
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