Provider Demographics
NPI:1386733673
Name:GEALT, DAVID B (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:GEALT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-968-7363
Mailing Address - Fax:856-356-4710
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 408
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-968-7363
Practice Address - Fax:856-356-4710
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2017-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMB074794207QS0010X
NJ25MB07479400207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010007754 00OtherAMERICHOICE
NJ2648579000OtherAMERIHEALTH/KEYSTONE/IBC/PABS
NJ2604548OtherUNITED HEALTH PLAN
NJ3K5444OtherHEALTHNET
NJ41338OtherUNIVERSITY HEALTH PLAN
PA1020725940001Medicaid
NJP3722952OtherOXFORD
NJ0079154Medicaid
NJ1223777OtherCIGNA
PA2007127OtherPA BS HIGHMARK
PA3423025000OtherKEYSTONE/IBC
NJ60022433OtherHORIZON NJ HEALTH
NJ1072033/7569720OtherAETNA
NJ2648579000OtherAMERIHEALTH/KEYSTONE/IBC/PABS
NJ0079154Medicaid
PA3423025000OtherKEYSTONE/IBC