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Organization

DOUGLAS B. GERSH, MD., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS B GERSH MD (OWNER/PRESIDENT)
(302) 633-5840
Entity
Organization

Contact information

Practice address
774 CHRISTIANA RD, SUITE 201, NEWARK, DE 19713-4236
(302) 731-7037
Mailing address
774 CHRISTIANA RD, SUITE 201, NEWARK, DE 19713-4236

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C1-0002233
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C1-0002233
MEDICAL LICENSE
DE
Enumeration date
04/30/2014
Last updated
04/30/2014
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