Judi R Gerardis, MD
Obstetrics & Gynecology in Hackensack, NJ. Individual provider (NPI-1).
NPI number1528028313
StatusActive
Last updated in NPPESDec 10, 2021
Details
- NPI
- 1528028313
- Entity type
- Individual (NPI-1)
- Name
- Judi R Gerardis
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2006
- Certification date
- Dec 10, 2021
- Last updated
- Dec 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MA66371 | NJ | Yes |
Practice location
20 Prospect AveSuite 607
Hackensack, NJ 07601
Phone 201-487-3464 · Fax 201-487-0232
Mailing address
20 Prospect AveSuite 607
Hackensack, NJ 07601
Phone 551-996-1235 · Fax 551-996-0469
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