MEDICARE: CATHY GERIA CNP

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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	R041782	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	041867	OTHER	ME	ANTHEM BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932151610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY GERIA CNP

Provider Business Mailing Address
First Line	:	53 S LAUREL ST
Second Line	:	PO BOX 597
City	:	BRIDGETON
State	:	NJ
Zip	:	08302-1946
Country	:	US
Telephone Number	:	856-451-4700
Fax Number	:	856-863-5732

Provider Business Practice Location Address
First Line	:	53 S LAUREL ST
Second Line	:
City	:	BRIDGETON
State	:	NJ
Zip	:	08302-1946
Country	:	US
Telephone Number	:	856-451-4700
Fax Number	:	856-863-5732

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	02/24/2012

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