| Josef Gendlerman | |
|
360 Merrimack St Bldg 9 Suite 303 Lawrence MA 01843 | |
| (978) 682-0973 | |
| (978) 682-3138 |
| Full Name | Josef Gendlerman |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 Merrimack St, Lawrence, Massachusetts |
| Authorized Official Name and Position | Josef Gendlerman (OWNER) |
| Authorized Official Contact | 9786820973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josef Gendlerman 360 Merrimack St Bldg 9 Suite 303 Lawrence MA 01843 Ph: (978) 682-0973 | Josef Gendlerman 360 Merrimack St Bldg 9 Suite 303 Lawrence MA 01843 Ph: (978) 682-0973 |
| NPI Number | 1275728156 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 11/09/2012 |
| Medicare PECOS PAC ID | 9032157508 |
|---|---|
| Medicare Enrollment ID | O20050425000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275728156 | NPI | - | NPPES |
| M16219 | Other | MA | BCBS |
| 9776097 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 59700 (Massachusetts) | Primary |
| 207R00000X | Internal Medicine | 70546 (Massachusetts) | Secondary |
| Provider Name | Josef I Gendlerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467555052 PECOS PAC ID: 1951358209 Enrollment ID: I20050407001158 |
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