Individual
STEPHEN ANDREW GOLLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
968 HAMBURG TPKE, WAYNE, NJ 07470-3225
(973) 696-0300
(973) 696-0465
Mailing address
968 HAMBURG TPKE, WAYNE, NJ 07470-3225
(973) 696-0300
(973) 696-0465
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07932300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077283
—
NJ
Enumeration date
03/23/2006
Last updated
02/02/2010
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