Provider Demographics
NPI:1174028435
Name:GURLAND, JAKE B (MD)
Entity Type:Individual
Prefix:
First Name:JAKE
Middle Name:B
Last Name:GURLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:523 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3735
Mailing Address - Country:US
Mailing Address - Phone:201-649-1190
Mailing Address - Fax:201-730-0433
Practice Address - Street 1:523 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3735
Practice Address - Country:US
Practice Address - Phone:201-649-1190
Practice Address - Fax:201-730-0433
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ00000000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine