Individual
DR. ZELDA JENNIFAY GHERSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(973) 754-2543
Mailing address
55 FRUIT STREET, GRAY BIGELOW 6, BOSTON, MA 02114-2696
(914) 393-2333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
270662
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
270662
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891100517
—
MA
01
—
945046064
DRIVER'S LICENSE
NY
Enumeration date
06/23/2014
Last updated
01/04/2018
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