Provider Demographics
NPI:1790064871
Name:MESSERSCHMIDT, GERALD LEIGH (MD)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:LEIGH
Last Name:MESSERSCHMIDT
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 1:270 CURWEN RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1617
Mailing Address - Country:US
Mailing Address - Phone:610-613-3882
Mailing Address - Fax:610-527-4857
Practice Address - Street 1:270 CURWEN RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1617
Practice Address - Country:US
Practice Address - Phone:610-613-3882
Practice Address - Fax:610-527-4857
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2012-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443427207R00000X, 207RH0003X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine