Healthcare Provider Details

I. General information

NPI: 1740215714
Provider Name (Legal Business Name): ERNEST R GELB D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32060 LONG NECK RD
MILLSBORO DE
19966-6228
US

IV. Provider business mailing address

32060 LONG NECK RD
MILLSBORO DE
19966-6228
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3150
  • Fax: 302-945-4287
Mailing address:
  • Phone: 302-645-3150
  • Fax: 302-945-4287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS004146L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: