Organization
ELIZABETH A. GERNHARDT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GERNHARDT DO (CEO)
(570) 208-5536
Entity
Organization
Contact information
Practice address
1732 WYOMING AVE, FORTY FORT, PA 18704-4340
(570) 331-9134
(570) 331-9171
Mailing address
PO BOX 1048, FORTY FORT, PA 18704-0048
(570) 313-9134
(570) 331-9171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009873L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018048210004
—
PA
Enumeration date
04/03/2007
Last updated
01/29/2024
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