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WILLIAM JAMES GERHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 E NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 677-9729
(609) 652-6270
Mailing address
72 W JIMMIE LEEDS RD, SUITE 1100, GALLOWAY, NJ 08205-9406
(609) 677-9729
(609) 652-7153

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25MA04657500
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04657500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2194104
NJ
01
P00236401
RAILROAD MEDICARE
NJ
01
P00758309
RAILROAD MEDICARE
NJ
Enumeration date
08/28/2006
Last updated
11/22/2011
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