Individual
DR. GRETCHEN HAYNES CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
1200 ROSELLE ST, LINDEN, NJ 07036-2529
(973) 485-6799
(973) 485-6711
Mailing address
PO BOX 337, ORANGE, NJ 07051-0337
(908) 486-9091
(908) 634-1000
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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