Gollup, Andrew Michael

Gollup, Andrew Michael is an individual health care provider with primary practice located at 145 Route 34 , Old Bridge NJ 08857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gollup, Andrew Michael can be contacted via phone (732) 525-0400.

Contact Information

Primary practice address
145 Route 34 Old Bridge NJ 08857
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA03692900 New Jersey

Profile Details

NPI number 1538123799
LBN Legal business name Gollup, Andrew Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1538123799 NPPES
New Jersey MEDICAID 6149006

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