Individual
DR. GERARD GUY PROSPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
427 WHITEWOOD RD, ENGLEWOOD, NJ 07631-1944
(201) 541-9147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
168898
NY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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