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Organization

CHARLES L GELLIDO MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES GELLIDO MD (MD)
(908) 686-7881
Entity
Organization

Contact information

Practice address
2137 MORRIS AVE, UNION, NJ 07083-6002
(908) 686-7881
(908) 686-7889
Mailing address
2137 MORRIS AVE, UNION, NJ 07083-6002
(908) 686-7881
(908) 686-7889

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA06993900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02179353
NY
01
068883
MEDICARE
NJ
Enumeration date
11/30/2010
Last updated
11/30/2010
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