Provider Demographics
NPI:1831082122
Name:GERALD FAMILY CARE PC
Entity type:Organization
Organization Name:GERALD FAMILY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:GERALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-832-8007
Mailing Address - Street 1:PO BOX 715492
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19171-5492
Mailing Address - Country:US
Mailing Address - Phone:202-832-8007
Mailing Address - Fax:202-529-5290
Practice Address - Street 1:14999 HEALTH CENTER DR STE 204
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1080
Practice Address - Country:US
Practice Address - Phone:240-266-1037
Practice Address - Fax:240-206-9457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty