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NPI Code Detail

MEDICARE: ROBERT YALE GUMNIT M.D.

MEDICARE: ROBERT YALE GUMNIT M.D.
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
1207L00000XAnesthesiology PhysicianMD017913EPA
2207L00000XAnesthesiology Physician25MA03226500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1GU096007OTHERPAPA BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902803471
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT YALE GUMNIT M.D.
Provider Business Mailing Address
First Line : 120 MADISON AVE
Second Line : SUITE E
City : MOUNT HOLLY
State : NJ
Zip : 08060-2055
Country : US
Telephone Number : 609-261-1660
Fax Number : 609-261-1779
Provider Business Practice Location Address
First Line : 175 MADISON AVE
Second Line :
City : MOUNT HOLLY
State : NJ
Zip : 08060-2038
Country : US
Telephone Number : 609-267-0700
Fax Number : 609-261-4801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 01/10/2008

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