Individual
DR. CORY ALAN GOLLOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 MAIN RD, MONTVILLE, NJ 07045-9729
(973) 334-9404
(973) 334-7615
Mailing address
329 MAIN RD, MONTVILLE, NJ 07045-9729
(973) 334-9404
(973) 334-7615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA55345
NJ
208000000X
Pediatrics Physician
Primary
MA55345
NJ
Other
Enumeration date
08/03/2005
Last updated
06/24/2011
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