Individual
DR. EDWARD W GERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 TYSON AVE, PHILADELPHIA, PA 19135-1615
(215) 624-0500
Mailing address
17 LLANFAIR CIRCLE, ARDMORE, PA 19003
(610) 642-9890
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD016049E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765059
—
PA
Enumeration date
01/16/2007
Last updated
07/01/2010
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