Individual
DR. PAUL JOSEPH GAGLIO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DOCTORS OFFICE CENTER 90 BERGEN STREET, SUITE 4500, NEWARK, NJ 07631
(973) 972-5252
(212) 305-4343
Mailing address
555 CUMBERLAND ST PH 14, ENGLEWOOD, NJ 07631-4705
(917) 575-6509
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
179243
NY
207RI0008X
Hepatology Physician
1792431
NY
207RT0003X
Transplant Hepatology Physician
179243-1
NY
207RT0003X
Transplant Hepatology Physician
Primary
25MA05421700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02143873
—
NY
01
—
179243
LICENSE
NY
05
—
5512603
—
NJ
Enumeration date
06/07/2006
Last updated
11/14/2024
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