Individual
DR. GERALD THOMAS MEHALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 WEST 10TH ST, CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC., WILMINGTON, DE 19801
(302) 328-3330
(302) 328-9336
Mailing address
500 WEST 10TH ST, CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC., WILMINGTON, DE 19801
(610) 544-5485
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
C2-0005837
DE
2084P0800X
Psychiatry Physician
Primary
C2-0005837
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2-0005837
PROFESSIONAL LICENSE
DE
Enumeration date
03/23/2007
Last updated
03/07/2023
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