Gerweck, Kenneth K

Gerweck, Kenneth K is an individual health care provider with primary practice located at 163 Gore St , East Cambridge MA 02141-1119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gerweck, Kenneth K can be contacted via phone (617) 665-3000.

Contact Information

Primary practice address
163 Gore St East Cambridge MA 02141-1119
Phone: (617) 665-3000
Fax: (617) 665-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 213776 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 213776 Massachusetts

Profile Details

NPI number 1497733752
LBN Legal business name Gerweck, Kenneth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 19th, 2013 - about 11 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 1497733752 NPPES
Massachusetts MEDICAID 2063221

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