Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Gershon, MD

Individual provider General Practice Physician · NPI 1629588389

Dr. Ethan Gershon, MD is a General Practice Physician in Needham, Massachusetts. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

375 Hunnewell St
Needham, MA 02494-1340
Phone: (508) 665-9475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 2004008251 (MO)

Record details

NPI number1629588389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 9, 2017
Last updated in NPPESApril 30, 2019