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Individual

MR. THEODORE JAMES WILLIAM GAITHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 PATERSON PLANK RD # 1015, UNION CITY, NJ 07087-3416
(732) 829-6370
Mailing address
92 AMETHYST WAY, FRANKLIN PARK, NJ 08823-1657
(732) 829-6370

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
29785020
PA
347E00000X
Transportation Broker
Primary
29785020
PA

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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