Active NPIIndividual provider

Michele T Gilsenan, DO

Family Medicine, Sports Medicine in Clark, New Jersey

NPI Number1821066283
Practice location
67 Walnut Ave, Clark, NJ 07066-1640
Fax
732-388-1330
Last updated
July 24, 2019

Michele Theresa Gilsenan is a Family Medicine, Sports Medicine based in Clark, NJ. Michele Theresa Gilsenan practices in Clark, NJ and has the professional credentials of DO. The NPI Number for Michele Theresa Gilsenan is 1821066283 and holds a License No. mb53933 (NJ). The current practice location address for Michele Theresa Gilsenan is 67 Walnut Ave, Clark, NJ 07066-1640 and can be reached out via phone at 732-388-7300 and via fax at 732-388-1330.

Provider Profile Details

NPI Number
1821066283
Provider Name
Michele Theresa Gilsenan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
67 Walnut Ave, Clark, NJ 07066-1640
Phone Number
732-388-7300
Fax Number
732-388-1330
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
No
Provider Enumeration Date
March 10, 2006
Last Update Date
July 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Walnut Ave
Clark, NJ 07066-1640
City
Clark
Zip
07066-1640
Phone Number
732-388-7300
Fax Number
732-388-1330
Clark, NJ 07066Get directions →

Provider Business Mailing Address Details

Address
67 Walnut Ave
Clark, NJ 07066-1640
City
Clark
State
NJ
Zip
07066-1640
Phone Number
732-388-7300
Fax Number
732-388-1330

License Information

License Number
mb53933
License State
NJ
Taxonomy
Family Medicine, Sports Medicine · 207QS0010X · 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 Michele T Gilsenan, DO?

The NPI number of Michele T Gilsenan, DO is 1821066283. It was assigned on March 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Michele T Gilsenan, DO?

Michele T Gilsenan, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in NJ under license number mb53933.

Where does Michele T Gilsenan, DO practice?

The practice location is 67 Walnut Ave, Clark, NJ 07066-1640. The office can be reached at 732-388-7300 (phone) or 732-388-1330 (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 1821066283 directly on the NPPES registry website.

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