Provider Demographics
NPI:1881342590
Name:SHERIDAN, GERARD (MD, FRCS)
Entity type:Individual
Prefix:MR
First Name:GERARD
Middle Name:
Last Name:SHERIDAN
Suffix:
Gender:M
Credentials:MD, FRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3981 HIXON PLACE
Mailing Address - Street 2:NORTH VANCOUVER
Mailing Address - City:VANCOUVER
Mailing Address - State:BC
Mailing Address - Zip Code:V7G 2R6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:535 E. 70TH ST, HOSPITAL FOR SPECIAL SURGERY,
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:604-715-5337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program