Individual
DR. GREGORY STEPHEN SUGALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE FL 3, HACKENSACK, NJ 07601-1915
(551) 996-3547
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA08287400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08287400
NJ MEDICAL LICENSE
NJ
Enumeration date
04/03/2008
Last updated
06/27/2019
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