Physician Compare National (NPI:1306825799)

HEALTHCARE PROVIDER: VICTOR GUREWICH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306825799
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385673193
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050811000290
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUREWICH
	Individual professional last name
Provider First Name	VICTOR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1955
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	300 MOUNT AUBURN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 305
	Group Practice or individual's line 2 address
City	CAMBRIDGE
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021385665
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6176610567
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNT AUBURN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y