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Individual

DR. GRETCHEN HAYNES CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD0024110
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145525
CHN
01
223620546
BLUE CROSS/BLUE SHIELD
NJ
01
480025921
RAILROAD MEDICARE
05
777006
NJ
Enumeration date
01/12/2007
Last updated
02/25/2013
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