Individual
BRIAN K GOTCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
636 KINGS HWY STE A, WOODBURY, NJ 08096-3145
(856) 848-0500
Mailing address
1318 VALLEE DR, WOODBURY, NJ 08096-3139
(856) 853-1471
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD02066
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5084105
—
NJ
Enumeration date
09/04/2006
Last updated
09/03/2008
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