Individual
MR. IAN GERSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
9 HARDING HWY, PITTSGROVE, NJ 08318-4401
(856) 358-4111
Mailing address
11 FIFIELD AVE, NORTHFIELD, NJ 08225-2221
(609) 484-2454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4342
PA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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