Individual
DR. JOHN G GALLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 565-5482
(732) 249-5284
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 565-5482
(732) 249-5284
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MA56866
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7685904
—
NJ
Enumeration date
04/20/2006
Last updated
03/13/2012
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