Provider Demographics
NPI:1407374796
Name:GERIA DERMATOLOGY LLC
Entity type:Organization
Organization Name:GERIA DERMATOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DERMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:GERIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-623-8000
Mailing Address - Street 1:75 ORIENT WAY STE 204
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2086
Mailing Address - Country:US
Mailing Address - Phone:201-623-8000
Mailing Address - Fax:201-578-5160
Practice Address - Street 1:75 ORIENT WAY STE 204
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2086
Practice Address - Country:US
Practice Address - Phone:201-623-8000
Practice Address - Fax:201-578-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty