Basic Information
Provider Information
NPI: 1275612046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GEST
FirstName: ALBERT
MiddleName: LEE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 42944
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191012944
CountryCode: US
TelephoneNumber: 3619024000
FaxNumber: 2147122487
Practice Location
Address1: 2606 HOSPITAL BLVD
Address2:  
City: CORPUS CHRISTI
State: TX
PostalCode: 784051804
CountryCode: US
TelephoneNumber: 3619024000
FaxNumber: 2147122067
Other Information
ProviderEnumerationDate: 11/03/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XK5954TXY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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