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Individual

RICHARD THOMAS GARGIULO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5401 OLD YORK RD STE 505, PHILADELPHIA, PA 19141-3047
(215) 456-6970
(215) 456-7154
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-7000
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036138386
IL
207RN0300X
Nephrology Physician
Primary
OS021403
PA

Other

Enumeration date
03/26/2012
Last updated
08/25/2021
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