Provider Demographics
NPI:1942435615
Name:GERTLER, RALPH (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:GERTLER
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:SEDANSTR. 33
Mailing Address - Street 2:
Mailing Address - City:MUNICH
Mailing Address - State:BAVARIA
Mailing Address - Zip Code:81667
Mailing Address - Country:DE
Mailing Address - Phone:00149891-202-3879
Mailing Address - Fax:
Practice Address - Street 1:LAZARETTSTR. 36
Practice Address - Street 2:
Practice Address - City:MUNICH
Practice Address - State:BAVARIA
Practice Address - Zip Code:80636
Practice Address - Country:DE
Practice Address - Phone:00149-891-2180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-24
Last Update Date:2009-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220510207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology