Provider Demographics
NPI:1205119807
Name:GILMARTIN, ANDREW PHILIP (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PHILIP
Last Name:GILMARTIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:402 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:170 CHANGEBRIDGE RD BLDG C3
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9112
Practice Address - Country:US
Practice Address - Phone:973-575-5540
Practice Address - Fax:973-575-4885
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09101200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine