Provider Demographics
NPI:1174617492
Name:CO, GERRIE T (MD)
Entity type:Individual
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First Name:GERRIE
Middle Name:T
Last Name:CO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:210 BRIDGE PLAZA DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1729
Mailing Address - Country:US
Mailing Address - Phone:732-617-7400
Mailing Address - Fax:732-617-0200
Practice Address - Street 1:210 BRIDGE PLAZA DR
Practice Address - Street 2:SUITE 225
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1729
Practice Address - Country:US
Practice Address - Phone:732-617-7400
Practice Address - Fax:732-617-0200
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA058758002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry