Individual
BETHANY GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 W RED BANK AVE, #203, WOODBURY, NJ 08096-1630
(856) 848-8242
Mailing address
162 LAURISTON ST, PHILADELPHIA, PA 19128-3728
(610) 750-3391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00414100
NJ
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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