Doctor Name: | MR. JAMES PATRICK GERKIN |
NPI Number: | 1225097256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | R137398 |
Business Practice Address: | 5183 Black Hawk Rd Aberdeen Proving Ground, MD - 210105424 |
Business Phone Number: | 4104361435 |
Business Fax Number: | |
Mailing Address: | 40 Theresa Ln, NORTH EAST |
State: | MD |
Postal Code: | 219013201 |
Phone Number: | 4102877545 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0106X |
License Number: | R137398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |