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Individual

DR. IRA GURLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
579A CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-5426
(732) 613-0711
(732) 613-5783
Mailing address
579A CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-5426
(732) 613-0711
(732) 613-5783

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA72162
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
221957468
TAX ID
NJ
05
8471908
NJ
Enumeration date
01/25/2006
Last updated
09/21/2012
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