Healthcare Provider Details

I. General information

NPI: 1528407285
Provider Name (Legal Business Name): GUL NOREEN IQBAL LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2013
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 MILLTOWN RD
EAST BRUNSWICK NJ
08816-2378
US

IV. Provider business mailing address

63 MILLTOWN RD
EAST BRUNSWICK NJ
08816-2378
US

V. Phone/Fax

Practice location:
  • Phone: 732-659-0683
  • Fax:
Mailing address:
  • Phone: 732-659-0683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05651900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: