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Individual

DR. PAUL GERRISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
135 PENNYPACKER DR, WILLINGBORO, NJ 08046-2646
(609) 877-7423
Mailing address
135 PENNYPACKER DR, WILLINGBORO, NJ 08046-2646

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1929
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3727203
NJ
Enumeration date
07/17/2006
Last updated
08/24/2010
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