Individual
CHARLISELLE GAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14 ASHBROOK DR, EDISON, NJ 08820-4317
(732) 549-2030
Mailing address
14 ASHBROOK DR, EDISON, NJ 08820-4317
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019576
NY
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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