Individual
GILAD MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5000
Mailing address
304 EDGEWOOD AVE, TEANECK, NJ 07666-3021
(201) 833-4351
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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