Provider Demographics
NPI:1235123704
Name:GERBER, RICHARD JASON (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JASON
Last Name:GERBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:620 JOHN PAUL JONES CIR
Mailing Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2111
Mailing Address - Country:US
Mailing Address - Phone:757-953-5652
Mailing Address - Fax:757-953-7134
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-5652
Practice Address - Fax:757-953-7134
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2023-05-01
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Provider Licenses
StateLicense IDTaxonomies
IN01055407A208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics