Provider Demographics
NPI:1801209952
Name:GERDNER, OSCAR A (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:A
Last Name:GERDNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 OLD KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4551
Mailing Address - Country:US
Mailing Address - Phone:203-349-8037
Mailing Address - Fax:888-751-6612
Practice Address - Street 1:30 OLD KINGS HWY S
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4551
Practice Address - Country:US
Practice Address - Phone:203-349-8037
Practice Address - Fax:888-751-6612
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT600012084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry