Individual
MARY-ELIZABETH T GASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6100 MAIN ST, VOORHEES, NJ 08043
(856) 673-4912
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26NJ00153000
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00153000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00153000
NJ LICENSE
NJ
Enumeration date
01/28/2008
Last updated
09/13/2019
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