MEDICARE: DR. GERALD NATHAN UNGER M.D.,J.D.,LL.M.

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	101Y00000X	Counselor
2	209800000X	Legal Medicine (M.D./D.O.) Physician	00000000	MA

General Provider Information

NPI Number	:	1447472352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD NATHAN UNGER M.D.,J.D.,LL.M.

Provider Business Mailing Address
First Line	:	3 TYLER AVE
Second Line	:	BLDG. B
City	:	EAST WAREHAM
State	:	MA
Zip	:	02538-1328
Country	:	US
Telephone Number	:	508-291-7777
Fax Number	:	508-291-7774

Provider Business Practice Location Address
First Line	:	3 TYLER AVE
Second Line	:	BLDG. B
City	:	EAST WAREHAM
State	:	MA
Zip	:	02538-1328
Country	:	US
Telephone Number	:	508-291-7777
Fax Number	:	508-291-7774

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	08/15/2011

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