Individual
NESTOR SAGULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
679 MONTGOMERY ST, JERSEY CITY, NJ 07306-3324
(201) 433-6500
(201) 433-8010
Mailing address
679 MONTGOMERY ST, JERSEY CITY, NJ 07306-3324
(201) 433-6500
(201) 433-8010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02668100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8719004
—
NJ
Enumeration date
05/17/2006
Last updated
06/04/2008
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