Ghersin, Zelda Jennifay

Ghersin, Zelda Jennifay is an sole proprietor health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Ghersin, Zelda Jennifay can be contacted via phone (973) 754-2543.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (973) 754-2543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 270662 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 270662 Massachusetts

Profile Details

NPI number 1891100517
LBN Legal business name Ghersin, Zelda Jennifay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2014
Last updated Jan 4th, 2018 - about 6 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 1891100517 NPPES
New York Other 945046064 DRIVER'S LICENSE
New York MEDICAID 1891100517 DRIVER'S LICENSE

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