Detullio, John P

Detullio, John P is an individual health care provider with primary practice located at 901 W Main St Suite 160, Cn 5050, Freehold NJ 07728-2537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Detullio, John P can be contacted via phone (732) 577-0600.

Contact Information

Primary practice address
901 W Main St Suite 160, Cn 5050 Freehold NJ 07728-2537
Fax: (732) 577-6332
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA04345700 New Jersey

Profile Details

NPI number 1184738940
LBN Legal business name Detullio, John P
Credentials M.D., F.C.C.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 4th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184738940 NPPES
New York Other 03F88 EMPIRE BCBS
New York MEDICAID 1431005 EMPIRE BCBS
New York Other 110098315 EMPIRE BCBS
New York Other 41014 EMPIRE BCBS
New York Other MS044 EMPIRE BCBS
New York Other 4093697 EMPIRE BCBS
New York Other 223019073-002 EMPIRE BCBS
New York Other F00797 EMPIRE BCBS
New York Other 223019073 EMPIRE BCBS
New York Other 223019073-002 EMPIRE BCBS

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