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Individual

ROBERT YALE GUMNIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 267-0700
(609) 261-4801
Mailing address
120 MADISON AVE, SUITE E, MOUNT HOLLY, NJ 08060-2055
(609) 261-1660
(609) 261-1779

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA03226500
NJ
207L00000X
Anesthesiology Physician
MD017913E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006293980002
PA
05
2354705
NJ
01
GU096007
PA BLUE SHIELD
PA
Enumeration date
06/30/2005
Last updated
01/10/2008
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