MEDICARE: DR. RONALD L GERSON M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	44288	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235179813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD L GERSON M.D

Provider Business Mailing Address
First Line	:	403 COMMERCE LN STE 3
Second Line	:
City	:	WEST BERLIN
State	:	NJ
Zip	:	08091-2513
Country	:	US
Telephone Number	:	856-767-8787
Fax Number	:	856-767-6140

Provider Business Practice Location Address
First Line	:	403 COMMERCE LN STE 3
Second Line	:
City	:	WEST BERLIN
State	:	NJ
Zip	:	08091-2513
Country	:	US
Telephone Number	:	856-767-8787
Fax Number	:	567-676-1408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	08/23/2021

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