Provider Demographics
NPI:1780799676
Name:GRESS, KURT D (MD)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:D
Last Name:GRESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 RUTLAND SQ
Mailing Address - Street 2:APT. #4
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3106
Mailing Address - Country:US
Mailing Address - Phone:781-756-7243
Mailing Address - Fax:
Practice Address - Street 1:WINCHESTER ANESTHESIA
Practice Address - Street 2:41 HIGHLAND STREET
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890
Practice Address - Country:US
Practice Address - Phone:781-756-7243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78534207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology