Individual
DR. GERALD M FENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2475 MCCLELLAN AVE, SUITE B201, PENNSAUKEN, NJ 08109
(856) 330-6300
(856) 330-6305
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9207
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA01990700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229407
—
NJ
Enumeration date
12/29/2005
Last updated
06/21/2013
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