Provider Demographics
NPI:1245511518
Name:MARALDO, GENE P (RPH)
Entity type:Individual
Prefix:MR
First Name:GENE
Middle Name:P
Last Name:MARALDO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 PHILADELPHIA PIKE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-2357
Mailing Address - Country:US
Mailing Address - Phone:302-761-1700
Mailing Address - Fax:302-761-1706
Practice Address - Street 1:1117 RED OAK DR
Practice Address - Street 2:
Practice Address - City:GARNET VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19060-1529
Practice Address - Country:US
Practice Address - Phone:610-558-4046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist