Individual
MRS. CLAIRE GULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 LACEY RD, FORKED RIVER, NJ 08731-1042
(609) 693-8900
(609) 971-2888
Mailing address
1001 LACEY ROAD, FORKED RIVER, NJ 08731-2511
(609) 693-8900
(609) 971-2888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00022600
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00022600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00022600
LICENSE #
NJ
01
—
A00028400
CDS #
NJ
Enumeration date
12/28/2006
Last updated
04/12/2024
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