Organization
GEPS PHYSICIAN GROUP OF NEW JERSEY PC
Active
Organization
GEPS PHYSICIAN GROUP OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHAPIRO (VICE PRESIDENT)
(410) 832-7790
Entity
Organization
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348
(610) 925-4157
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
869802
—
NJ
Enumeration date
07/19/2006
Last updated
07/10/2018
Update your record
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