Organization
JOHN J GARTLAND JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH GARTLAND JR. M.D. (PRESIDENT)
(856) 845-3443
Entity
Organization
Contact information
Practice address
636 KINGS HWY, SUITE B, WEST DEPTFORD, NJ 08096-3164
(856) 845-3443
(856) 845-4544
Mailing address
636 KINGS HWY, SUITE B, WEST DEPTFORD, NJ 08096-3164
(856) 845-3443
(856) 845-4544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60918
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6610609
—
NJ
Enumeration date
06/30/2008
Last updated
06/30/2008
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