Gully, Roger Lee

Gully, Roger Lee is an sole proprietor health care provider with primary practice located at 62 Fairmount Ave , Clifton NJ 07011-3007. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Gully, Roger Lee can be contacted via phone (973) 340-0890.

Contact Information

Primary practice address
62 Fairmount Ave Clifton NJ 07011-3007
Phone: (973) 340-0890
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 26BT00004800 New Jersey

Profile Details

NPI number 1174539944
LBN Legal business name Gully, Roger Lee
Credentials CERTIFIED REHAB THER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 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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