Gerdes, Jeffrey S
Gerdes, Jeffrey S is an individual health care provider with primary practice located at 800 Spruce St Fl 2 Chop Care Network At Pennsylvania Hospital, Philadelphia PA 19107-6130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Gerdes, Jeffrey S can be contacted via phone (215) 829-3191.Contact Information
Primary practice address
800 Spruce St Fl 2 Chop Care Network At Pennsylvania Hospital
Philadelphia PA 19107-6130
Phone: (215) 829-3191
Fax: (215) 829-7123
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD026906E | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD026906E | Pennsylvania |
Profile Details
NPI number | 1942246798 |
---|---|
LBN Legal business name | Gerdes, Jeffrey S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2006 |
Last updated | Apr 17th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942246798 | NPPES |
Pennsylvania | MEDICAID | 0009634200002 | |
Pennsylvania | MEDICAID | 3658503 |
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