| Doctor Name: | MICHAEL GUNDELL |
| NPI Number: | 1205264892 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 25MP00319000 |
| Business Practice Address: | 108 Bilby Rd Suite 201 Hackettstown, NJ - 078404174 |
| Business Phone Number: | 9086843005 |
| Business Fax Number: | |
| Mailing Address: | 108 Bilby Rd, Suite 201 HACKETTSTOWN |
| State: | NJ |
| Postal Code: | 078404174 |
| Phone Number: | 9086843005 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2013 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 25MP00319000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |