Individual
GWENDOLYN ANN LUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 CANTILLON BLVD, MAYS LANDING, NJ 08330-2023
(609) 601-8611
Mailing address
1409 CANTILLON BLVD, MAYS LANDING, NJ 08330-2023
(609) 601-8611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00944800
NJ
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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