Individual
DR. NAZLI E GULAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 CENTURY PKWY STE 350, MOUNT LAUREL, NJ 08054-1149
(856) 482-9000
(856) 482-1159
Mailing address
100 CENTURY PKWY STE 350, MOUNT LAUREL, NJ 08054-1149
(856) 482-9000
(856) 482-1159
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05100400
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MA05100400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3233600
—
NJ
01
—
P00951164
RAILROAD MEDICARE
NJ
Enumeration date
01/31/2006
Last updated
03/14/2024
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