Provider Demographics
NPI:1942295761
Name:GEKOWSKI, KATHLEEN M (MD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:M
Last Name:GEKOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1450 PARKSIDE AVENUE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638
Mailing Address - Country:US
Mailing Address - Phone:609-882-3500
Mailing Address - Fax:609-882-3501
Practice Address - Street 1:1450 PARKSIDE AVENUE
Practice Address - Street 2:SUITE #4
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638
Practice Address - Country:US
Practice Address - Phone:609-882-3500
Practice Address - Fax:609-882-3501
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2010-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA040640207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9115108Medicaid
C58247Medicare UPIN
NJ9115108Medicaid