Individual
FERN GOTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
91 S JEFFERSON RD, SUITE 200, WHIPPANY, NJ 07981-1037
(973) 538-6116
(973) 538-3712
Mailing address
LB# 7550 PO BOX 95000, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04606600
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
25MA04606600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4624602
—
NJ
Enumeration date
08/12/2006
Last updated
12/12/2017
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