Provider Demographics
NPI:1861580219
Name:GERBER, DAVID R (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:GERBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:DORRANCE 372A
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-342-3084
Mailing Address - Fax:856-968-7420
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:DORRANCE 432
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2657
Practice Address - Fax:856-968-8306
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB54608207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F30835Medicare UPIN
727666Medicare ID - Type Unspecified