Raymond, Gerald Michael

Raymond, Gerald Michael is an individual health care provider with primary practice located at 301 N Harrison St , Princeton NJ 08540-3512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Raymond, Gerald Michael can be contacted via phone (609) 924-5510.

Contact Information

Primary practice address
301 N Harrison St Princeton NJ 08540-3512
Fax: (609) 924-3577
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA04745100 New Jersey

Profile Details

NPI number 1700865805
LBN Legal business name Raymond, Gerald Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1700865805 NPPES
New Jersey Other 25MA04745100 LICENSE
New Jersey MEDICAID 2331306 LICENSE

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