Individual
DR. JOSEPH GERADTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD., DEPARTMENT OF PATHOLOGY, ECU HEALTH MEDICAL CENTER, GREENVILLE, NC 27834-2350
(919) 943-3371
Mailing address
123 THAMES DR, GOOSE CREEK, SC 29445-7185
(919) 943-3371
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
265672
MA
207ZP0101X
Anatomic Pathology Physician
Primary
93-00702
NC
207ZP0101X
Anatomic Pathology Physician
G65531
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
221876
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
9300702
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02166347
—
NY
Enumeration date
06/22/2005
Last updated
05/08/2025
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