Individual
JONATHAN PETER GERSHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1380 LEAD HILL BLVD STE 100, ROSEVILLE, CA 95661-2941
(916) 535-2030
(916) 536-3061
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
20A17270
CA
Other
Enumeration date
03/28/2016
Last updated
11/27/2023
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