Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | D131902 | FL |
NPI | 1942539325 |
---|---|
Provider Name | Dr. Steven L Gersen |
First Address | Palm Beach Gardens, FL 33418-4204 |
Second Address | Shelton, CT 06484-7603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2009 |
Last Update Date | 15/12/2009 |