Individual
GARY JOSEPH MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
226 MIDDLE RD, HAZLET, NJ 07730-1945
(732) 888-9889
Mailing address
393 SAINT ANDREWS RD, STATEN ISLAND, NY 10306-1541
(917) 432-4273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01569700
NJ
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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