Provider Demographics
NPI:1932424389
Name:JERRY H. GELBART, M.D., INC.
Entity Type:Organization
Organization Name:JERRY H. GELBART, M.D., INC.
Other - Org Name:JERRY H. GELBART, M.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:GELBART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-254-3652
Mailing Address - Street 1:11 MORAGA WAY
Mailing Address - Street 2:SUITE1
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3017
Mailing Address - Country:US
Mailing Address - Phone:925-254-3652
Mailing Address - Fax:925-254-3790
Practice Address - Street 1:11 MORAGA WAY
Practice Address - Street 2:SUITE1
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3017
Practice Address - Country:US
Practice Address - Phone:925-254-3652
Practice Address - Fax:925-254-3790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty