OrganizationActive
Colleen Gerg, Ma, Rdn
NPI 1639620420 · Point of Service · Bryn Mawr, PA
Provider details
- NPI number
- 1639620420
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Authorized official
- Colleen Gerg, Owner
- License
- DN004713 (PA)
Mailing address
800 Lafayette Rd
Bryn Mawr, PA 19010-1817
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2016-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.