Provider Demographics
NPI:1528007994
Name:GER, ERROL (MD)
Entity Type:Individual
Prefix:
First Name:ERROL
Middle Name:
Last Name:GER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 N SCOTT ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4059
Mailing Address - Country:US
Mailing Address - Phone:302-427-2370
Mailing Address - Fax:302-427-2350
Practice Address - Street 1:1207 N SCOTT ST
Practice Address - Street 2:SUITE 4
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4059
Practice Address - Country:US
Practice Address - Phone:302-427-2370
Practice Address - Fax:302-427-2350
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC000965174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE008979Medicare PIN
DEE95979Medicare UPIN