Healthcare Provider Details

I. General information

NPI: 1952294241
Provider Name (Legal Business Name): GERALD FAMILY CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4744 MARLBORO PIKE
CAPITOL HEIGHTS MD
20743-5212
US

IV. Provider business mailing address

PO BOX 715492
PHILADELPHIA PA
19171-5492
US

V. Phone/Fax

Practice location:
  • Phone: 240-670-1003
  • Fax: 240-532-5071
Mailing address:
  • Phone: 202-832-8007
  • Fax: 202-529-5290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MELVIN D GERALD
Title or Position: CEO
Credential: MD
Phone: 22-832-8007