Gersten, Gregory

Gersten, Gregory is an individual health care provider with primary practice located at 385 Main St S Union Square, Southbury CT 06488-4240. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gersten, Gregory can be contacted via phone (203) 264-7999.

Contact Information

Primary practice address
385 Main St S Union Square Southbury CT 06488-4240
Fax: (203) 264-7477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 036955 Connecticut
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036955 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036955 Connecticut

Profile Details

NPI number 1487688214
LBN Legal business name Gersten, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 17th, 2021 - about 3 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 1487688214 NPPES
Connecticut MEDICAID 001369554

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