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NPI Code Detail

MEDICARE: CHERYL S GAUFF RN. APN-C

MEDICARE: CHERYL S GAUFF 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
1163WG0100XGastroenterology Registered Nurse26NO06902700NJ
2363LG0600XGerontology Nurse Practitioner26NN06902700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1522114204COTHERBCBS OF NJ
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38304131OTHEREVERCARE

General Provider Information

NPI Number : 1104866797
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL S GAUFF RN. APN-C
Provider Business Mailing Address
First Line : 1 CEDAR CREAST VILLAGE DR
Second Line : CEDAR CREST VILLAGE MEDICAL CENTER
City : POMPTON PLAINS
State : NJ
Zip : 07444
Country : US
Telephone Number : 973-831-3540
Fax Number : 973-831-3503
Provider Business Practice Location Address
First Line : 1 CEDAR CREST VILLAGE DR
Second Line : CEDAR CREST VILLAGE MEDICAL CENTER
City : POMPTON PLAINS
State : NJ
Zip : 07444-2100
Country : US
Telephone Number : 973-831-3540
Fax Number : 973-831-3503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 03/03/2009

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