Individual
WALTER L GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD YORK RD, SUITE 200, PHILADELPHIA, PA 19141-3030
(215) 455-2345
(215) 455-9366
Mailing address
5401 OLD YORK RD, SUITE 200, PHILADELPHIA, PA 19141-3030
(215) 455-2345
(215) 455-9366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD033211E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053487000
KEYSTONE HEALTH PLAN, E
PA
05
—
1000248
—
PA
01
—
104662
HIGHMARK BS/PA
PA
01
—
32475
AETNA HMO
PA
01
—
46957
KEYSTONE MERCY HP
PA
Enumeration date
08/26/2005
Last updated
03/05/2010
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