Individual
JEFFREY GULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9149 ESTATE THOMAS, PARAGON MEDICAL BLDG, STE 103, ST THOMAS, VI 00802-2615
(340) 774-0265
(340) 776-0228
Mailing address
PO BOX 11839, ST THOMAS, VI 00801-4839
(340) 774-0265
(340) 776-0228
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1330
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01086566
—
NY
Enumeration date
07/28/2005
Last updated
08/03/2007
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