Individual
DR. GUS JAY SLOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1765 SPRINGDALE RD, SUITE B1, CHERRY HILL, NJ 08003-2177
(856) 424-1110
(856) 424-3113
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(956) 796-9200
(856) 310-5603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA03203600
NJ
2086S0102X
Surgical Critical Care Physician
MA03203600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3763806
—
NJ
Enumeration date
04/21/2006
Last updated
01/21/2008
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