MEDICARE: DR. TERENCE A GERACE JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	MD034823	DC

General Provider Information

NPI Number	:	1558510545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERENCE A GERACE JR. M.D.

Provider Business Mailing Address
First Line	:	1824 R ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-1604
Country	:	US
Telephone Number	:	202-306-5874
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 R ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-1604
Country	:	US
Telephone Number	:	202-306-5874
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2008
Last Update Date	:	09/15/2008

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