Organization
GILLISS FAMILY CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM C GILLISS D.O. (DOCTOR)
(609) 230-9282
Entity
Organization
Contact information
Practice address
27 E CHESTNUT AVE, MERCHANTVILLE, NJ 08109-2504
(609) 230-9282
Mailing address
27 E CHESTNUT AVE, MERCHANTVILLE, NJ 08109-2504
(609) 230-9282
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
25MB05998100
NJ
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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