Organization
CHARLES L GELLIDO MD LLC
Active
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
Update your record
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