Individual
MR. PATRICK N GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
224 HAMBURG TPKE, WAYNE, NJ 07470-2111
(973) 650-1859
Mailing address
713 PROSPECT ST, MAPLEWOOD, NJ 07040-3144
(973) 650-1859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00090100
NJ
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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