Individual
DR. LINDA D. GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MADISON AVENUE, MORRISTOWN, NJ 07960
(973) 971-5597
(973) 290-7145
Mailing address
465 SOUTH STREET, SUITE 103, MORRISTOWN, NJ 07960
(973) 971-7184
(973) 290-8349
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
027172
CT
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08912700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6056504
—
NJ
Enumeration date
07/13/2005
Last updated
05/15/2012
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