Healthcare Provider Details

I. General information

NPI: 1598841090
Provider Name (Legal Business Name): ALEXANDER GELBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HOLLYWOOD AVE
LOS GATOS CA
95030-6235
US

IV. Provider business mailing address

90 HOLLYWOOD AVE
LOS GATOS CA
95030-6235
US

V. Phone/Fax

Practice location:
  • Phone: 408-219-4613
  • Fax:
Mailing address:
  • Phone: 408-219-4613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA39903
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: