Individual
NEOLA GUSHWAY-HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 WILLOWBROOK BLVD STE110 PMB7579, WAYNE, NJ 07470-7033
(609) 736-0090
Mailing address
155 WILLOWBROOK BLVD STE110, PMB7579, WAYNE, NJ 07470-7033
(609) 736-0090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA09112000
NJ
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
25MA09112000
NJ
Other
Enumeration date
04/29/2009
Last updated
02/01/2026
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