Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | MA068599 | NJ |
NPI | 1295838530 |
---|---|
Provider Name | Beth P Gelman |
First Address | Randolph, NJ 07869-1925 |
Second Address | Randolph, NJ 07869-1925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 04/05/2012 |