Healthcare Provider Details

I. General information

NPI: 1457334575
Provider Name (Legal Business Name): GARY SCOTT KARLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PRINCESS RD STE 2J
LAWRENCEVILLE NJ
08648-2320
US

IV. Provider business mailing address

1 DIAMOND HILL RD
BERKELEY HEIGHTS NJ
07922-2104
US

V. Phone/Fax

Practice location:
  • Phone: 609-895-1991
  • Fax: 609-895-6996
Mailing address:
  • Phone: 908-273-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number25MA05468300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: