Provider Demographics
NPI:1649268848
Name:FERRY, GERALD W (MD)
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:W
Last Name:FERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GERALD
Other - Middle Name:W
Other - Last Name:FERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PC
Mailing Address - Street 1:2494 BERNVILLE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-9466
Mailing Address - Country:US
Mailing Address - Phone:610-678-2400
Mailing Address - Fax:610-678-2074
Practice Address - Street 1:2209 QUARRY DR
Practice Address - Street 2:SUITE C-30
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-1155
Practice Address - Country:US
Practice Address - Phone:610-678-2400
Practice Address - Fax:610-678-2074
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016743E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02337300OtherCAP. BLUE
2465097OtherBERKSHIRE PARTNERS
000473069OtherKEYSTONE EAST
PA473069OtherPA BLUE SHIELD
000473069OtherAMERI HEALTH
2465097OtherBERKSHIRE HEALTH
000473069OtherINDEPENDENCE BLUE SHIELD
147643OtherKEYSTONE CENTRAL