Doctor Name: | DR. JOSEPH ANTHONY GERSHEY |
NPI Number: | 1205875812 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC003369L |
Business Practice Address: | 1034 Main St Dickson City, PA - 185191340 |
Business Phone Number: | 5704898866 |
Business Fax Number: | |
Mailing Address: | 1034 Main Street, DICKSON CITY |
State: | PA |
Postal Code: | 18519 |
Phone Number: | 5704898866 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 05/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC003369L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |