Doctor Name: | DR. ALAN R GINGOLD |
NPI Number: | 1578670253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 25MB08037900 |
Business Practice Address: | 511 Courtyard Dr Hillsborough, NJ - 088444255 |
Business Phone Number: | 9082189222 |
Business Fax Number: | 9082189818 |
Mailing Address: | 511 Courtyard Dr, HILLSBOROUGH |
State: | NJ |
Postal Code: | 088444255 |
Phone Number: | 9082189222 |
Fax Number: | 9082189818 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MB08037900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |