Dr. John G Gallucci
Pediatric Surgery
254 Easton Ave
New Brunswick
, New Jersey 08901-1766
Dr. John G Gallucci
Pediatric Surgery
254 Easton Ave
New Brunswick
, New Jersey 08901-1766
(732) 249-5284
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. John G Gallucci
- 254 Easton Ave
- New Brunswick, NJ
- Zip : 08901-1766
- Fax : (732) 249-5284
- Phone : (732) 565-5482
Second Address
- Dr. John G Gallucci
- 254 Easton Ave
- New Brunswick, NJ
- Zip : 08901-1766
- Fax : (732) 249-5284
- Phone : (732) 565-5482
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | MA56866 | NJ |
National Provider Identifier
| NPI | 1245295153 |
|---|---|
| Provider Name | Dr. John G Gallucci |
| First Address | New Brunswick, NJ 08901-1766 |
| Second Address | New Brunswick, NJ 08901-1766 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 13/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7685904 | (05) | NJ |
| H11454 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.