Provider Demographics
NPI:1295776615
Name:CHASE, GERARD NMN (MD)
Entity type:Individual
Prefix:DR
First Name:GERARD
Middle Name:NMN
Last Name:CHASE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:801 ACALANES RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3301
Mailing Address - Country:US
Mailing Address - Phone:925-283-3387
Mailing Address - Fax:925-283-3387
Practice Address - Street 1:1 BOLIVAR DR
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-2210
Practice Address - Country:US
Practice Address - Phone:510-486-8744
Practice Address - Fax:510-649-0322
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG48622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry