Provider Demographics
NPI:1104967439
Name:GECHT, GARY (RPH)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:
Last Name:GECHT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:GARY
Other - Middle Name:
Other - Last Name:GECHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:511 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4504
Mailing Address - Country:US
Mailing Address - Phone:201-461-2472
Mailing Address - Fax:
Practice Address - Street 1:511 MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4504
Practice Address - Country:US
Practice Address - Phone:201-461-2472
Practice Address - Fax:201-461-0097
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00473800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist