Individual
DR. WILLIAM NORTHWOOD GILLELAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 NESBITT RD, SUITE 151, NEW CASTLE, PA 16105-3410
(724) 652-3616
(724) 656-6679
Mailing address
26 NESBITT RD, SUITE 151, NEW CASTLE, PA 16105-3410
(724) 652-3616
(724) 656-6679
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD046830L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014666800001
—
PA
05
—
0014666800005
—
PA
01
—
122440
MEDICARE ID
PA
Enumeration date
06/28/2005
Last updated
05/10/2021
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