Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KALLA ALEXIS GERVASIO, MD
ActiveDR. KALLA ALEXIS GERVASIO, MD is a 207WX0200X healthcare provider located in CONCORD, New Hampshire. NPI 1619409364 is currently active in the NPPES registry. Verify at CMS.
207WX0200X · CONCORD, NH
Registration Details
- NPI Number
- 1619409364
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2017 (9.413386389857 yrs)
- Last Updated
- Jul 9, 2024
- License
-
25190 (NH)
Practice Information
- Address
-
248 PLEASANT ST STE 1600CONCORD, NH, 033012588Browse NH providers · Browse ZIP 03301
- Phone
- 6032242020
- Fax
- 6032280248
- Primary Specialty
-
207WX0200X
207WX0200X
Other 207WX0200X Providers in CONCORD, NH
| Name | Credential | NPI |
|---|---|---|
| DAVID ALAN WEINBERG | MD | 1164502076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.