Gillis-Funderburk, Sheri A

Gillis-Funderburk, Sheri A is an individual health care provider with primary practice located at 2 Capital Way Suite 290, Pennington NJ 08534-2521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Gillis-Funderburk, Sheri A can be contacted via phone (609) 303-4300.

Contact Information

Primary practice address
2 Capital Way Suite 290 Pennington NJ 08534-2521
Fax: (609) 303-4301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MA07706200 New Jersey

Profile Details

NPI number 1922078195
LBN Legal business name Gillis-Funderburk, Sheri A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922078195 NPPES
New Jersey MEDICAID 0105066

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