Provider Demographics
NPI:1629338751
Name:GERSON ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:GERSON ASSOCIATES, P.C.
Other - Org Name:UNIVERSITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-637-6800
Mailing Address - Street 1:10551 DECATUR RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-3800
Mailing Address - Country:US
Mailing Address - Phone:215-637-6800
Mailing Address - Fax:215-637-7967
Practice Address - Street 1:2981 GRANT AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1024
Practice Address - Country:US
Practice Address - Phone:215-535-3335
Practice Address - Fax:215-743-7786
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GERSON ASSOCIATES, P.C. T/A UNIVERSITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000006439332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies