Provider Demographics
NPI:1437211315
Name:GERGES, FADY J (MD)
Entity Type:Individual
Prefix:
First Name:FADY
Middle Name:J
Last Name:GERGES
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 1:1633 SORGHUM MILL RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6810
Mailing Address - Country:US
Mailing Address - Phone:302-734-5050
Mailing Address - Fax:302-734-8080
Practice Address - Street 1:1633 SORGHUM MILL RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-6810
Practice Address - Country:US
Practice Address - Phone:302-734-5050
Practice Address - Fax:302-734-8080
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008033174400000X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No174400000XOther Service ProvidersSpecialist