Provider Demographics
NPI:1376513390
Name:GELBER, RENE LEWIS (MD)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:LEWIS
Last Name:GELBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14201 LAUREL PARK DR
Mailing Address - Street 2:SUITE 223
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5203
Mailing Address - Country:US
Mailing Address - Phone:301-490-6098
Mailing Address - Fax:301-490-6190
Practice Address - Street 1:14201 LAUREL PARK DR
Practice Address - Street 2:SUITE 223
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5203
Practice Address - Country:US
Practice Address - Phone:301-490-6098
Practice Address - Fax:301-490-6190
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00175022086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3921OtherMD MEDICARE ID NUMBER
MD268771200Medicaid
MD268771200Medicaid
MD3921OtherMD MEDICARE ID NUMBER