Doctor Name: | DR. MARK JOSEPH GERSCOVICH |
NPI Number: | 1598721375 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME71823 |
Business Practice Address: | 6215 Wild Orchid Dr Lithia, FL - 335475041 |
Business Phone Number: | 8133834429 |
Business Fax Number: | 8133834429 |
Mailing Address: | 6215 Wild Orchid Dr, LITHIA |
State: | FL |
Postal Code: | 335475041 |
Phone Number: | 8133834429 |
Fax Number: | 8133834429 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 07/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | ME71823 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |