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
Phone: (617) 738-1961
Fax: (617) 734-2348
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194766634 | NPPES |
| Massachusetts | MEDICAID | 2027208 |
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