Individual
MICHAEL GUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 BILBY RD, SUITE 201, HACKETTSTOWN, NJ 07840-4174
(908) 684-3005
Mailing address
108 BILBY RD, SUITE 201, HACKETTSTOWN, NJ 07840-4174
(908) 684-3005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00319000
NJ
363AS0400X
Surgical Physician Assistant
25MP00319000
NJ
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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