Individual
GERALD S PACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2848 S DELSEA DR, BLDG 1, VINELAND, NJ 08360-7042
(856) 696-2010
(856) 696-3689
Mailing address
2848 S DELSEA DR, BLDG 1, VINELAND, NJ 08360-7042
(856) 696-2010
(856) 696-3689
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29669
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902907
—
NJ
Enumeration date
07/05/2005
Last updated
07/08/2007
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