Individual
GAIL HOLLY MAUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 EAST WILLOW STREET, MILLBURN, NJ 07041
(973) 376-8500
(973) 376-1820
Mailing address
12 EAST WILLOW STREET, MILLBURN, NJ 07041
(973) 376-8500
(973) 376-1820
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA06220100
NJ
207N00000X
Dermatology Physician
MA62201
NJ
Other
Enumeration date
06/11/2006
Last updated
02/18/2013
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