Provider Demographics
NPI:1538158605
Name:REED, GERALD M (DO)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:M
Last Name:REED
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1800 DUAL HIGHWAY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6648
Mailing Address - Country:US
Mailing Address - Phone:301-739-0400
Mailing Address - Fax:301-739-0402
Practice Address - Street 1:163 THOMAS JOHNSON DRIVE
Practice Address - Street 2:SUITE H
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-694-9111
Practice Address - Fax:301-739-0402
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2015-07-31
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Provider Licenses
StateLicense IDTaxonomies
MDH0016396207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD60051100Medicaid
MD6939Medicare PIN