Individual
GERALD JAY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 E 2ND ST FL 1, ERIE, PA 16507
(814) 456-8980
(814) 451-0443
Mailing address
333 STATE ST STE 103, ERIE, PA 16507-1450
(814) 877-7157
(814) 877-2844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
185898
NY
207R00000X
Internal Medicine Physician
Primary
MD418303
PA
207RC0000X
Cardiovascular Disease Physician
185898
NY
207RC0000X
Cardiovascular Disease Physician
MD418303
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01289174
—
NY
Enumeration date
02/28/2006
Last updated
06/06/2018
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