Gershengorn, Kenneth

Gershengorn, Kenneth is an individual health care provider with primary practice located at 1101 Beacon St. , Brookline MA 02446-5587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gershengorn, Kenneth can be contacted via phone (617) 738-1961.

Contact Information

Primary practice address
1101 Beacon St. Brookline MA 02446-5587
Fax: (617) 734-2348
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 33105 Massachusetts

Profile Details

NPI number 1194766634
LBN Legal business name Gershengorn, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 6th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194766634 NPPES
Massachusetts MEDICAID 2027208

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