IndividualActive
Kalla Gervasio, MD
NPI 1619409364 · Ophthalmic Plastic and Reconstructive Surgery Physician · Concord, NH
Provider details
- NPI number
- 1619409364
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25190 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
248 Pleasant St Ste 1600
Concord, NH 03301-2588
Phone: (603) 224-2020
Fax: (603) 228-0248
Approximate (ZIP-level) locationGet directions
Mailing address
248 Pleasant St Ste 1600
Concord, NH 03301-2588
Registry dates
- Enumerated
- 2017-03-31
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.