Individual
MARK R GERSHENBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 WEST MAIN ST, FREEHOLD, NJ 07728
(732) 294-2666
(732) 431-8267
Mailing address
PO BOX 13700-1901, PHILADELPHIA, PA 19191-1901
(800) 777-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB04672200
NJ
208M00000X
Hospitalist Physician
Primary
25MB04672200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5453101
—
NJ
01
—
P00153530
RAILROAD MEDICARE
—
Enumeration date
03/31/2006
Last updated
09/11/2025
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