Provider Demographics
NPI:1790906360
Name:GERFIN, JAMES L (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:GERFIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1 VANTAGE WAY STE B240
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1562
Mailing Address - Country:US
Mailing Address - Phone:615-329-4020
Mailing Address - Fax:615-327-5475
Practice Address - Street 1:1700 MEDICAL CENTER PKWY
Practice Address - Street 2:ST THOMAS RUTHERFORD HOSPITAL
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:615-329-4020
Practice Address - Fax:615-327-5475
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA82348207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0138142Medicaid
NJ2859720000OtherAMERIHEALTH
NJ2859720000OtherAMERIHEALTH