Individual
LUCY GORELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5645 TEXAS AVE, FORT DIX, NJ 08640-5402
(609) 562-6050
Mailing address
5645 TEXAS AVE, FORT DIX, NJ 08640-5402
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA05802300
NJ
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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