MEDICARE: KATHLEEN M GEKOWSKI MD

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
1	207RI0200X	Infectious Disease Physician	MA040640	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942295761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN M GEKOWSKI MD

Provider Business Mailing Address
First Line	:	1450 PARKSIDE AVENUE
Second Line	:	SUITE #4
City	:	EWING
State	:	NJ
Zip	:	08638
Country	:	US
Telephone Number	:	609-882-3500
Fax Number	:	609-882-3501

Provider Business Practice Location Address
First Line	:	1450 PARKSIDE AVENUE
Second Line	:	SUITE #4
City	:	EWING
State	:	NJ
Zip	:	08638
Country	:	US
Telephone Number	:	609-882-3500
Fax Number	:	609-882-3501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	08/05/2010

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