Individual
DR. MANSOUR GERGI
Active
Individual
DR. MANSOUR GERGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
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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