Individual
JEFFREY BRUCE GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 SHEPPARD RD STE 300, VOORHEES, NJ 08043-4685
(818) 639-3296
Mailing address
402 SHEPPARD RD STE 300, VOORHEES, NJ 08043-4685
(818) 639-3296
(856) 229-7699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD062414L
PA
207R00000X
Internal Medicine Physician
Primary
MD062414L
NJ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
25MA09329300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001649582
—
PA
Enumeration date
10/31/2006
Last updated
03/30/2023
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