MEDICARE: CHERYL DARLENE GOSIN RN,APN,C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	26NN09810000	NJ

General Provider Information

NPI Number	:	1871505362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL DARLENE GOSIN RN,APN,C

Provider Business Mailing Address
First Line	:	210 ROUTE US 9 S STE 106
Second Line	:	C/O HOPE COMMUNITY CANCER CENTER
City	:	MARMORA
State	:	NJ
Zip	:	08223-1271
Country	:	US
Telephone Number	:	609-390-7888
Fax Number	:	609-390-2614

Provider Business Practice Location Address
First Line	:	210 ROUTE US 9 S STE 106
Second Line	:	C/O HOPE COMMUNITY CANCER CENTER
City	:	MARMORA
State	:	NJ
Zip	:	08223-1271
Country	:	US
Telephone Number	:	609-390-7888
Fax Number	:	609-390-2614

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/08/2007

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