Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DI018643 | NJ |
NPI | 1003903881 |
---|---|
Provider Name | Dr. Gail Hutnick |
First Address | Phillipsburg, NJ 08865 |
Second Address | Plainfield, NJ 07060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |