Individual
THOMAS F. GEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 PHYLLIS DR STE B, PATCHOGUE, NY 11772-2900
(631) 289-4700
(631) 289-4718
Mailing address
4 PHYLLIS DR STE B, PATCHOGUE, NY 11772-2900
(631) 289-4700
(631) 289-4718
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD426557
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013024930001
—
PA
Enumeration date
03/24/2006
Last updated
08/23/2011
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