Gershon, Meredith Rae

Gershon, Meredith Rae is an individual health care provider with primary practice located at 888 White Plains Rd Ste 202 , Trumbull CT 06611-4552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Gershon, Meredith Rae can be contacted via phone (203) 365-6565.

Contact Information

Primary practice address
888 White Plains Rd Ste 202 Trumbull CT 06611-4552
Phone: (203) 365-6565
Fax: (203) 365-6567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 042196 Connecticut

Profile Details

NPI number 1699746339
LBN Legal business name Gershon, Meredith Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Sep 8th, 2023 - about 2 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 1699746339 NPPES
Connecticut MEDICAID 001421966

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