Provider Demographics
NPI:1972650448
Name:GOCHFELD, LINDA G (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:G
Last Name:GOCHFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SCOTCH RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-2529
Mailing Address - Country:US
Mailing Address - Phone:609-662-3096
Mailing Address - Fax:609-406-0307
Practice Address - Street 1:40 WITHERSPOON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-3208
Practice Address - Country:US
Practice Address - Phone:609-921-1370
Practice Address - Fax:609-406-0307
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO35182002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B16933Medicare UPIN
000442354Medicare ID - Type Unspecified