Individual
DR. HUBERT L. GUGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2305 WOOD AVE, ROSELLE, NJ 07203-2939
(908) 241-2114
(908) 241-6001
Mailing address
2305 WOOD AVE, ROSELLE, NJ 07203-2939
(908) 241-2114
(908) 241-6001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02405805
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
P57030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472281913
—
NJ
Enumeration date
10/13/2008
Last updated
04/07/2021
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