Active NPIIndividual providerSole proprietor

Gail H Mautner, MD

Dermatology in Millburn, New Jersey

NPI Number1053353680
Practice location
12 East Willow Street, Millburn, NJ 07041
Fax
973-376-1820
Last updated
February 18, 2013

Gail Holly Mautner is a Dermatology based in Millburn, NJ. Gail Holly Mautner practices in Millburn, NJ and has the professional credentials of MD. The NPI Number for Gail Holly Mautner is 1053353680 and holds a License No. MA62201 (NJ). The current practice location address for Gail Holly Mautner is 12 East Willow Street, Millburn, NJ 07041 and can be reached out via phone at 973-376-8500 and via fax at 973-376-1820.

Provider Profile Details

NPI Number
1053353680
Provider Name
Gail Holly Mautner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12 East Willow Street, Millburn, NJ 07041
Phone Number
973-376-8500
Fax Number
973-376-1820
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2006
Last Update Date
February 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 East Willow Street
Millburn, NJ 07041
Zip
07041
Phone Number
973-376-8500
Fax Number
973-376-1820
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
12 East Willow Street
Millburn, NJ 07041
City
Millburn
State
NJ
Zip
07041
Phone Number
973-376-8500
Fax Number
973-376-1820

License Information

License Number (1)
MA62201
License State (1)
NJ
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
25MA06220100
License State (2)
NJ
Taxonomy (2)
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gail H Mautner, MD?

The NPI number of Gail H Mautner, MD is 1053353680. It was assigned on June 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Gail H Mautner, MD?

Gail H Mautner, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number MA62201.

Where does Gail H Mautner, MD practice?

The practice location is 12 East Willow Street, Millburn, NJ 07041. The office can be reached at 973-376-8500 (phone) or 973-376-1820 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053353680 directly on the NPPES registry website.

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