Tillou, Gregory J.
Tillou, Gregory J. is an individual health care provider with primary practice located at 2500 English Creek Ave. Bldg 800, Egg Harbor Township NJ 08234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tillou, Gregory J. can be contacted via phone (609) 407-2332.Contact Information
Primary practice address
2500 English Creek Ave. Bldg 800
Egg Harbor Township NJ 08234
Phone: (609) 407-2332
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 247883 | New York |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA10853800 | New Jersey |
Profile Details
NPI number | 1831360965 |
---|---|
LBN Legal business name | Tillou, Gregory J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2008 |
Last updated | Jun 23rd, 2020 - about 5 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 | 1831360965 | NPPES |
New York | MEDICAID | 02976612 | |
New York | Other | 000417727001 | |
New York | Other | 110135661 | |
New York | Other | 3024552 |
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