Provider Demographics
NPI:1275677403
Name:GORESKY, GERALD (MDCM, FRCPC)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:
Last Name:GORESKY
Suffix:
Gender:M
Credentials:MDCM, FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5338 OAK STREET
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:BC
Mailing Address - Zip Code:V6M2V4
Mailing Address - Country:CA
Mailing Address - Phone:778-329-2213
Mailing Address - Fax:403-770-8063
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:H3580, DEPARTMENT OF ANESTHESIA, SUMC
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32773207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology