Provider Demographics
NPI:1538320551
Name:GIDWANEY, NEELAM GAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEELAM
Middle Name:GAIL
Last Name:GIDWANEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1301 ROUTE 72 W
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2483
Mailing Address - Country:US
Mailing Address - Phone:609-597-6513
Mailing Address - Fax:609-597-4593
Practice Address - Street 1:1301 ROUTE 72 W
Practice Address - Street 2:SUITE 300
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2483
Practice Address - Country:US
Practice Address - Phone:609-597-6513
Practice Address - Fax:609-597-4593
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2016-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09581200207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology