Gorson, Kenneth C
Gorson, Kenneth C is an sole proprietor health care provider with primary practice located at 110 Cedar St , Wellesley MA 02481-3527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gorson, Kenneth C can be contacted via phone (781) 591-8300.Contact Information
Primary practice address
110 Cedar St
Wellesley MA 02481-3527
Phone: (781) 591-8300
Fax: (781) 591-8320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 71107 | Massachusetts |
Profile Details
| NPI number | 1275528192 |
|---|---|
| LBN Legal business name | Gorson, Kenneth C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Nov 16th, 2016 - about 9 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 | 1275528192 | NPPES |
| Massachusetts | MEDICAID | 3095894 |
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