Provider Demographics
NPI:1942515671
Name:GERNERD, ZAINAB
Entity Type:Individual
Prefix:DR
First Name:ZAINAB
Middle Name:
Last Name:GERNERD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 VICTORIA SQ
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4044
Mailing Address - Country:US
Mailing Address - Phone:610-772-5834
Mailing Address - Fax:
Practice Address - Street 1:4400 PENNELL RD
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-3032
Practice Address - Country:US
Practice Address - Phone:610-494-2055
Practice Address - Fax:610-485-3029
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist