Individual
ELIZABETH GERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1732 WYOMING AVE, FORTY FORT, PA 18704-4340
(570) 331-9134
(570) 331-9171
Mailing address
PO BOX 1048, KINGSTON, PA 18704-0048
(570) 331-9134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009873L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001804821
—
PA
Enumeration date
12/27/2005
Last updated
01/29/2024
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