Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 1425141 | NY |
Y | 2086S0105X | Surgery of the Hand | 25MA03841200 | NJ |
NPI | 1023127537 |
---|---|
Provider Name | Mark A Gurland |
First Address | Englewood, NJ 07631 |
Second Address | Englewood, NJ 07631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B14899 | (02) |