Individual
DR. ELLIOT MARK GERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 W LANCASTER AVE, MEDICAL OFFICE BLDG II - SUITE 328, PAOLI, PA 19301-1763
(610) 647-2400
(610) 647-3902
Mailing address
207 N BROAD ST, 3RD FLR, PHILADELPHIA, PA 19107-1500
(267) 479-4165
(215) 463-3820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD038356E
PA
207RI0011X
Interventional Cardiology Physician
MD038356E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001121691
—
PA
01
—
444043GT6
MEDICARE ID
PA
Enumeration date
06/05/2006
Last updated
05/22/2018
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