Individual
MARK R GHAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3836
Mailing address
PO BOX 8505, CHERRY HILL, NJ 08002-0505
(856) 755-1616
(856) 755-0098
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA05920800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009928
AETNA
NJ
01
—
050046262
RAILROAD MEDICARE
NJ
01
—
0665283000
AMERIHEALTH
NJ
01
—
1059581
HORIZON NJ HEALTH
NJ
01
—
222041639
TAX ID
NJ
05
—
5553504
—
NJ
Enumeration date
06/14/2006
Last updated
05/09/2025
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