Individual provider · Type 1 NPI
Ethan Gershon, MD
General Practice Physician · Needham, MA
NPI number
1629588389
Active
Practice location
375 Hunnewell St
Needham, MA 02494-1340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 2004008251 (MO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1629588389
Ethan Gershon, MD's National Provider Identifier is 1629588389, issued on Oct 9, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Needham, MA. The record was last updated on Apr 30, 2019.