Individual
DR. MANSOUR GERGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8400
Mailing address
89 BEAUMONT AVE # E-214, BURLINGTON, VT 05405-1742
(802) 656-5482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03832
RI
207RH0003X
Hematology & Oncology Physician
042.0015734
VT
207RX0202X
Medical Oncology Physician
Primary
042-0015734
VT
Other
Enumeration date
06/29/2016
Last updated
08/04/2022
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