Provider Demographics
NPI:1669700340
Name:RENE' L GELBER MD PC
Entity type:Organization
Organization Name:RENE' L GELBER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:LEWS
Authorized Official - Last Name:GELBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-490-6098
Mailing Address - Street 1:14201 LAUREL PARK DR
Mailing Address - Street 2:SUITE 223
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5203
Mailing Address - Country:US
Mailing Address - Phone:301-490-6098
Mailing Address - Fax:301-490-6190
Practice Address - Street 1:14201 LAUREL PARK DR
Practice Address - Street 2:SUITE 223
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5203
Practice Address - Country:US
Practice Address - Phone:301-490-6098
Practice Address - Fax:301-490-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017502208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD268771200Medicaid
DCD09561Medicare UPIN
MD268771200Medicaid