Individual
DR. GERARD VENTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 ROUTE 40, ELMER, NJ 08318-2532
(856) 358-0770
(856) 358-0108
Mailing address
PO BOX 577, ELMER, NJ 08318-0577
(856) 358-0770
(856) 358-0108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA55134
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5174104
—
NJ
Enumeration date
01/05/2006
Last updated
03/13/2013
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