| Organization Name: | ANDREW T GERGELY, MD & ASSOCIATES, LLC |
| NPI Number: | 1033134341 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW T GERGELY (OWNER) |
| Mailing Address: | 3175 W Ward Rd #200 Dunkirk |
| State: | MD US |
| Postal Code: | 207543020 |
| Phone Number: | 4102860664 |
| Fax Number: | 4102862834 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 07/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |