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DR. ETHAN GERSHON MD
NPI 1629588389
General Practice in Needham, MA

Active since October 09, 2017
375 HUNNEWELL ST, NEEDHAM, MA 02494(508) 665-9475 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2019, Oct 9, 2017 (2 updates tracked since 2017).

About Dr. Ethan Gershon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN GERSHON MD (NPI 1629588389) is an individual general practice provider in Needham, Massachusetts, licensed in Missouri (2004008251) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1629588389
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ETHAN GERSHONCredential: MD
Location Address375 HUNNEWELL STNeedham, MA 02494-1340
Mailing Address375 Hunnewell StNeedham, MA 02494-1340 · (508) 665-9475
Phone(508) 665-9475
Sole ProprietorYes
Enumeration DateOctober 9, 2017
Last NPPES UpdateApril 30, 20192 updates tracked since enumeration
✔ NPI 1629588389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2004008251
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
375 HUNNEWELL ST, Needham, MA 02494
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Gershon's NPI number?

The NPI number for Ethan Gershon is 1629588389. It was assigned to this individual provider in the NPPES registry on October 9, 2017.

Where is Ethan Gershon located?

Ethan Gershon practices at 375 Hunnewell St, Needham, MA 02494. The listed phone number is (508) 665-9475.

What is Ethan Gershon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ethan Gershon was last updated on April 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.