Individual
JUDI R GERARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 PROSPECT AVE, SUITE 607, HACKENSACK, NJ 07601
(201) 487-3464
(201) 487-0232
Mailing address
20 PROSPECT AVE, SUITE 607, HACKENSACK, NJ 07601
(551) 996-1235
(551) 996-0469
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA66371
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0980221
AETNA HMO#
NJ
01
—
0K9231
HEALTHNET#
NJ
01
—
160059349
RAILROAD MEDICARE#
NJ
01
—
50Z731
EMPIRE BCBS#
NJ
01
—
5217583
AETNA PPO#
NJ
01
—
5710263
GHI PPO#
NJ
01
—
P677956
OXFORD#
NJ
Enumeration date
03/24/2006
Last updated
12/10/2021
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