Gallucci, John G
Gallucci, John G is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Gallucci, John G can be contacted via phone (732) 565-5482.Contact Information
Primary practice address
254 Easton Ave
New Brunswick NJ 08901-1766
Phone: (732) 565-5482
Fax: (732) 249-5284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | MA56866 | New Jersey |
Profile Details
| NPI number | 1245295153 |
|---|---|
| LBN Legal business name | Gallucci, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Mar 13th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245295153 | NPPES |
| New Jersey | MEDICAID | 7685904 |
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