Healthcare Provider Details

I. General information

NPI: 1184683690
Provider Name (Legal Business Name): GERARD J DELMONICO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 STRYKERS RD
PHILLIPSBURG NJ
08865-9488
US

IV. Provider business mailing address

77 S COMMERCE WAY
BETHLEHEM PA
18017-8891
US

V. Phone/Fax

Practice location:
  • Phone: 908-859-6568
  • Fax: 908-859-6697
Mailing address:
  • Phone: 484-526-3830
  • Fax: 833-213-6428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMA51856
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: