| Doctor Name: | MS. ERICA B GOPALAN |
| NPI Number: | 1003974858 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNC |
| License Number: | 26NJ00042500 |
| Business Practice Address: | 2906 Route 130 Suite 201 Delran, NJ - 080752521 |
| Business Phone Number: | 8567644115 |
| Business Fax Number: | 8567644116 |
| Mailing Address: | 2906 Route 130, Suite 201 DELRAN |
| State: | NJ |
| Postal Code: | 080752521 |
| Phone Number: | 8567644115 |
| Fax Number: | 8567644116 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00042500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |