Organization
ANDREW T. GERGELY, M.D.,L.C.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLIS MCCULLOUGH (OFFICE MANAGER)
(410) 286-0664
Entity
Organization
Contact information
Practice address
137 MITCHELLS CHANCE RD, 260, EDGEWATER, MD 21037-2787
(410) 956-5300
(410) 956-5301
Mailing address
3175 W WARD RD, 200, DUNKIRK, MD 20754-3020
(410) 286-0664
(410) 286-2834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0630
MD
101YP2500X
Professional Counselor
LC1239
MD
101YP2500X
Professional Counselor
LC6770
MD
1041C0700X
Clinical Social Worker
03914
MD
1041C0700X
Clinical Social Worker
09927
MD
1041C0700X
Clinical Social Worker
12303
MD
2084P0800X
Psychiatry Physician
D43972
MD
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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