Doctor Name: | DR. ALBERT H GELDERMAN |
NPI Number: | 1013919646 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 09582 |
Business Practice Address: | 219 S Dunlap Street Union, WV - 249830500 |
Business Phone Number: | 3047723211 |
Business Fax Number: | 3047724991 |
Mailing Address: | Po Box 500, UNION |
State: | WV |
Postal Code: | 249830500 |
Phone Number: | 3047723211 |
Fax Number: | 3047724991 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 03/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 09582 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |