Individual
THERESA GERGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
33 OVERLOOK RD STE 311, SUMMIT, NJ 07901
(908) 598-1500
Mailing address
14 CHETWYND TER, LIVINGSTON, NJ 07039-4203
(201) 606-5554
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB10358200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
07/04/2018
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