Individual
DR. GERALD MICHAEL RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N HARRISON ST, PRINCETON, NJ 08540-3512
(609) 924-5510
(609) 924-3577
Mailing address
301 N HARRISON ST, PRINCETON, NJ 08540-3512
(609) 924-5510
(609) 924-3577
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04745100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2331306
—
NJ
01
—
25MA04745100
LICENSE
NJ
Enumeration date
01/17/2006
Last updated
07/08/2007
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