Provider Demographics
NPI:1376655977
Name:AUCOTT, GALE LOUISE (CNM, MS)
Entity Type:Individual
Prefix:MS
First Name:GALE
Middle Name:LOUISE
Last Name:AUCOTT
Suffix:
Gender:F
Credentials:CNM, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2501
Mailing Address - Country:US
Mailing Address - Phone:609-737-9676
Mailing Address - Fax:609-737-4269
Practice Address - Street 1:2490 PENNINGTON RD
Practice Address - Street 2:SUITE 204
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-5225
Practice Address - Country:US
Practice Address - Phone:609-737-7512
Practice Address - Fax:609-737-0978
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00014501176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife