Individual
DR. GLENN S. GERHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N. BROAD STREET, PHILADELPHIA, PA 19140
(215) 707-4353
(215) 707-2781
Mailing address
2450 W. HUNTING PARK AVENUE, PHILADELPHIA, PA 19129
(215) 707-8561
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD044882E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001535133
—
PA
Enumeration date
03/09/2006
Last updated
03/19/2015
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