Healthcare Provider Details

I. General information

NPI: 1013092535
Provider Name (Legal Business Name): ANITA GERATH D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 SOUTH MAIN ST
ALLENTOWN NJ
08501
US

IV. Provider business mailing address

P.O. BOX 626
ALLENTOWN NJ
08501-0626
US

V. Phone/Fax

Practice location:
  • Phone: 609-259-3700
  • Fax:
Mailing address:
  • Phone: 609-259-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00528800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: