Roger Lee Gully in Clifton - Rehabilitation Practitioner
Roger Lee Gully - NPI 1174539944
Roger Lee Gully is a Rehabilitation Practitioner in Clifton, New Jersey. Roger Lee Gully practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Roger Lee Gully is 1174539944. The last update date is 2007-07-08.
Roger Lee Gully's current location address is 62 Fairmount Ave, Clifton, New Jersey. You can contact this provider via phone number 9733400890. The mailing address for Roger Lee Gully is 62 Fairmount Ave, Clifton, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roger Lee Gully |
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Address | 62 Fairmount Ave, Clifton, New Jersey |
Phone Number | 9733400890 |
Fax Number | |
Sole Proprietor | Y |
Credentials | CERTIFIED |
NPI Number Detail
NPI Number | 1174539944 |
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Provider Enumeration Date | 2006-07-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 62 Fairmount Ave |
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City | Clifton |
State | New Jersey (NJ) |
Post Code | 70113007 |
Phone Number | 9733400890 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation Practitioner |
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Taxonomy | 225400000X |
Licence No | 26BT00004800 |
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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What is the unique identifier code issued to Roger Lee Gully by the Centers for Medicare & Medicaid Services?
The Roger Lee Gully has been assigned the NPI (National Provider Identifier) 1174539944. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Roger Lee Gully's physical address?
The Roger Lee Gully is physically located at 62 Fairmount Ave, in the city of Clifton, NJ, with the postal code 70113007.
What is the Roger Lee Gully's area of specialization and corresponding taxonomy classification?
The Roger Lee Gully's specialty field is Rehabilitation Practitioner, and it falls under the taxonomy code 225400000X, which categorizes healthcare providers based on their specialties.
On what date did the Roger Lee Gully receive the assignment of its 1174539944 from the Centers for Medicare & Medicaid Services?
The Roger Lee Gully was issued its 1174539944 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date was the information regarding Roger Lee Gully, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roger Lee Gully, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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