Provider Demographics
NPI:1184720146
Name:DELEO, GERARD JOSEPH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GERARD
Middle Name:JOSEPH
Last Name:DELEO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JERRY
Other - Middle Name:
Other - Last Name:DELEO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1700 BUTLER PIKE
Mailing Address - Street 2:#24A
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1273
Mailing Address - Country:US
Mailing Address - Phone:215-776-0246
Mailing Address - Fax:
Practice Address - Street 1:1700 BUTLER PIKE
Practice Address - Street 2:#24A
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1273
Practice Address - Country:US
Practice Address - Phone:215-776-0246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044973L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist