Basic Information
Provider Information
NPI: 1750335568
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GERSHKOFF
FirstName: ARTHUR
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 60 TOWNSHIP LINE RD
Address2: SUITE 400
City: ELKINS PARK
State: PA
PostalCode: 190272220
CountryCode: US
TelephoneNumber: 2154567000
FaxNumber: 2152543289
Practice Location
Address1: 60 TOWNSHIP LINE RD
Address2:  
City: ELKINS PARK
State: PA
PostalCode: 190272220
CountryCode: US
TelephoneNumber: 2156636600
FaxNumber: 2156636265
Other Information
ProviderEnumerationDate: 05/19/2006
LastUpdateDate: 01/03/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000XMD023248EPAY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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