Gotfried, Fern
Gotfried, Fern is an individual health care provider with primary practice located at 91 S Jefferson Rd Suite 200, Whippany NJ 07981-1037. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gotfried, Fern can be contacted via phone (973) 538-6116.Contact Information
Primary practice address
91 S Jefferson Rd Suite 200
Whippany NJ 07981-1037
Phone: (973) 538-6116
Fax: (973) 538-3712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA04606600 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA04606600 | New Jersey |
Profile Details
| NPI number | 1649282419 |
|---|---|
| LBN Legal business name | Gotfried, Fern |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Dec 12th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649282419 | NPPES |
| New Jersey | MEDICAID | 4624602 |
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