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Individual

GARY A AGIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1A REGULUS DRIVE, TURNERSVILLE, NJ 08012
(856) 553-6904
(856) 589-3913
Mailing address
1A REGULUS DRIVE, TURNERSVILLE, NJ 08012
(856) 553-6904
(856) 589-3913

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MB03744500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0624705
NJ
Enumeration date
11/01/2006
Last updated
01/07/2015
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