Organization
GERSHON PAIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
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
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101048068
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073541736
—
VA
01
—
279949
ANTHEM
VA
01
—
6668240001
MEDICARE NSC
—
Enumeration date
04/20/2007
Last updated
06/29/2012
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