Organization
KEITH GURLAND, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH G. GURLAND MD. (OWNER/PHYSICIAN)
(201) 339-1266
Entity
Organization
Contact information
Practice address
521 BROADWAY, BAYONNE, NJ 07002
(201) 339-1266
(201) 339-0122
Mailing address
521 BROADWAY, BAYONNE, NJ 07002
(201) 339-1266
(201) 339-0122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03644300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061201
—
NJ
Enumeration date
06/09/2017
Last updated
06/09/2017
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