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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1245295153 NPPES
New Jersey MEDICAID 7685904

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