Organization
GERSHON PAIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN L GERSHON M.D. (PRESIDENT)
(757) 496-2050
Entity
Organization
Contact information
Practice address
1133 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2402
(757) 496-2050
(757) 689-4357
Mailing address
1133 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2402
(757) 496-2050
(757) 689-4357
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0101048068
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871710798
—
VA
01
—
6668240001
MEDICARE NSC
—
Enumeration date
02/20/2012
Last updated
07/05/2012
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