Provider Demographics
NPI:1760993695
Name:GERBER, EMILIE
Entity type:Individual
Prefix:
First Name:EMILIE
Middle Name:
Last Name:GERBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1335
Mailing Address - Country:US
Mailing Address - Phone:978-877-1451
Mailing Address - Fax:
Practice Address - Street 1:249 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1335
Practice Address - Country:US
Practice Address - Phone:978-877-1451
Practice Address - Fax:978-877-1451
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273636171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist