Individual
BETH A. GERALDS
Active
Individual
BETH A. GERALDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50-001731
OH
363AM0700X
Medical Physician Assistant
Primary
0806
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30338609
—
NH
Enumeration date
01/04/2006
Last updated
10/14/2015
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