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Individual

MRS. CAROLYN JEAN GAUKLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1230 PARKWAY AVE, SUITE 203, EWING, NJ 08628-3018
(609) 883-5454
(609) 883-2565
Mailing address
1230 PARKWAY AVE STE 203, EWING, NJ 08628-3018
(609) 883-5454
(609) 883-2565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA049502
NJ
207R00000X
Internal Medicine Physician
MD044784L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2460904
NJ
Enumeration date
10/26/2005
Last updated
04/27/2021
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