Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN GERSHON, MD
Active Sole ProprietorDR. ETHAN GERSHON, MD is a General Practice healthcare provider located in NEEDHAM, Massachusetts. NPI 1629588389 is currently active in the NPPES registry. Verify at CMS.
General Practice · NEEDHAM, MA
Registration Details
- NPI Number
- 1629588389
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2017 (8.8222420856715 yrs)
- Last Updated
- Apr 30, 2019
- License
-
2004008251 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
375 HUNNEWELL STNEEDHAM, MA, 024941340Browse MA providers · Browse ZIP 02494
- Phone
- 5086659475
- Primary Specialty
-
General Practice
208D00000X
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.