Provider Demographics
NPI:1477664480
Name:ROGERS, GARY S (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:S
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:85 HERRICK ST
Mailing Address - Street 2:ONCOLOGY CENTER
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1790
Mailing Address - Country:US
Mailing Address - Phone:978-524-7933
Mailing Address - Fax:978-524-7954
Practice Address - Street 1:85 HERRICK ST
Practice Address - Street 2:ONCOLOGY CENTER
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1790
Practice Address - Country:US
Practice Address - Phone:978-524-7933
Practice Address - Fax:978-524-7954
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-01-10
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Provider Licenses
StateLicense IDTaxonomies
MA58289207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology