# THE GEM MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750592879
- **Authorized official:** CINDY WILNO (BILLING MANAGER)
- **Authorized official phone:** (609) 895-9700

## Contact information

- **Practice address:** 51 ROUTE 23 SOUTH, RIVERDALE, NJ 07456
- **Practice address phone:** (973) 831-5705
- **Practice address fax:** (973) 831-5706
- **Mailing address:** 51 ROUTE 23 SOUTH, RIVERDALE, NJ 07456
- **Mailing address phone:** (973) 831-5705
- **Mailing address fax:** (973) 831-5706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 25MA05022000 | NJ | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 09/21/2007