Individual
MICHELE THERESA GILSENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
67 WALNUT AVE, CLARK, NJ 07066-1640
(732) 388-7300
(732) 388-1330
Mailing address
67 WALNUT AVE, CLARK, NJ 07066-1640
(732) 388-7300
(732) 388-1330
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MB53933
NJ
Other
Enumeration date
03/10/2006
Last updated
07/24/2019
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