Mark Gershenbaum, Do, Llc | |
80 Scenic Dr Suite 3 Freehold NJ 07728-5210 | |
(732) 255-2252 | |
Not Available |
Full Name | Mark Gershenbaum, Do, Llc |
---|---|
Speciality | Family Medicine |
Location | 80 Scenic Dr, Freehold, New Jersey |
Authorized Official Name and Position | Mark Gershenbaum (OWNER) |
Authorized Official Contact | 7322552252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Gershenbaum, Do, Llc 80 Scenic Dr Suite 3 Freehold NJ 07728-5210 Ph: (732) 255-2252 | Mark Gershenbaum, Do, Llc 80 Scenic Dr Suite 3 Freehold NJ 07728-5210 Ph: (732) 255-2252 |
NPI Number | 1427190073 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427190073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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