Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANETTE M GEROULD, PA
ActiveJEANETTE M GEROULD, PA is a Surgical Physician Assistant healthcare provider located in CLIFFSIDE PARK, New Jersey. NPI 1700139540 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CLIFFSIDE PARK, NJ
Registration Details
- NPI Number
- 1700139540
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2012 (13.856565065069 yrs)
- Last Updated
- Oct 17, 2012
- License
-
25MP00293700 (NJ)
Practice Information
- Address
-
663 PALISADE AVECLIFFSIDE PARK, NJ, 070103012Browse NJ providers · Browse ZIP 07010
- Phone
- 2019439100
- Fax
- 2019437308
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in CLIFFSIDE PARK, NJ
| Name | Credential | NPI |
|---|---|---|
| HEATHER BRYAN | — | 1376964288 |
| JESSE MARKOWITZ | PA | 1639559479 |
| MICHELLE TASSINARI | PA | 1134674377 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.