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Organization

JUDITH C GELLRICK, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDITH CAROL GELLRICK M.D. (PRESIDENT)
(201) 342-5555
Entity
Organization

Contact information

Practice address
77 PROSPECT AVE, HACKENSACK, NJ 07601-1913
(201) 342-5555
(201) 343-3389
Mailing address
77 PROSPECT AVE, HACKENSACK, NJ 07601-1913
(201) 342-5555
(201) 343-3389

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA028950
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2994003
NJ
Enumeration date
03/25/2010
Last updated
03/25/2010
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