Healthcare Provider Details

I. General information

NPI: 1093976656
Provider Name (Legal Business Name): SEVGI GURKAN M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 FRENCH ST
NEW BRUNSWICK NJ
08901-1935
US

IV. Provider business mailing address

1 SPRING ST APT# 1403
NEW BRUNSWICK NJ
08901-2276
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-7880
  • Fax:
Mailing address:
  • Phone: 732-235-7880
  • Fax: 732-235-7077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA08445300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: