Provider Demographics
NPI:1033184106
Name:ZURIFF, GERALD E (PHD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:E
Last Name:ZURIFF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 FOSTER ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4745
Mailing Address - Country:US
Mailing Address - Phone:617-868-7806
Mailing Address - Fax:
Practice Address - Street 1:120 FOSTER ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4745
Practice Address - Country:US
Practice Address - Phone:617-868-7806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA698103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW01572OtherBLUE CROSS
MAW51143Medicare ID - Type Unspecified