Dr Gerald M Fendrick, MD is a
Pediatrics physician based in Pennsauken, New Jersey. Dr Gerald M Fendrick is licensed to practice in New Jersey (license number 25MA01990700) and his current practice location is 2475 Mcclellan Ave, Suite B201, Pennsauken, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 330-6300.
NPI number for Dr Gerald M Fendrick is 1841277936 and his current mailing address is 500 Grove St, Suite 100, Haddon Heights, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841277936.
Physician's Profile
| Full Name | Dr Gerald M Fendrick |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 2475 Mcclellan Ave, Pennsauken, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841277936
- Provider Enumeration Date: 12/29/2005
- Last Update Date: 06/21/2013
Medical Identifiers
Medical identifiers for Dr Gerald M Fendrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841277936 | NPI | - | NPPES |
| 0229407 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 25MA01990700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gerald M Fendrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gerald M Fendrick, MD
500 Grove St, Suite 100,
Haddon Heights, NJ 08035-1761
Ph: (856) 796-9207 | Dr Gerald M Fendrick, MD
2475 Mcclellan Ave, Suite B201,
Pennsauken, NJ 08109
Ph: (856) 330-6300 |
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