Doctor Name: | GERALD JAY BISHOP |
NPI Number: | 1316913338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD418303 |
Business Practice Address: | 12 Center St Suite #1 Fredonia, NY - 140631716 |
Business Phone Number: | 7166792233 |
Business Fax Number: | 7166799698 |
Mailing Address: | 12 Center St, Suite #1 FREDONIA |
State: | NY |
Postal Code: | 140631716 |
Phone Number: | 7166792233 |
Fax Number: | 7166799698 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | MD418303 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |