| Doctor Name: | DR. GRETCHEN HAYNES CARTER |
| NPI Number: | 1194876789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M |
| License Number: | 25MD0024110 |
| Business Practice Address: | 1200 Roselle St Linden, NJ - 070362529 |
| Business Phone Number: | 9734856799 |
| Business Fax Number: | 9734856711 |
| Mailing Address: | Po Box 337, ORANGE |
| State: | NJ |
| Postal Code: | 070510337 |
| Phone Number: | 9084869091 |
| Fax Number: | 9086341000 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 02/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 25MD0024110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |