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
Mailing address375 Hunnewell St, Needham, MA 02494-1340