Provider Demographics
NPI:1982777389
Name:GERKEN, MADELINE E (MD)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:E
Last Name:GERKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 EXECUTIVE PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054
Mailing Address - Country:US
Mailing Address - Phone:603-882-2941
Mailing Address - Fax:603-429-1844
Practice Address - Street 1:7 EXECUTIVE PARK DRIVE
Practice Address - Street 2:HOME HEALTH & HOSPICE CARE
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054
Practice Address - Country:US
Practice Address - Phone:603-882-2941
Practice Address - Fax:603-429-1844
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6508207RH0002X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHC65836Medicare UPIN