Individual
DR. JOHN GILLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BERGEN ST STE 8100, NEWARK, NJ 07103-2425
(973) 972-2323
Mailing address
90 BERGEN STREET, SUITE 8100, NEWARK, NJ 07103
(973) 972-2323
(973) 972-2333
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA10152100
NJ
207T00000X
Neurological Surgery Physician
283356
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2014
Last updated
07/21/2022
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