Organization
GCOCT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GHISELLI MD (OWNER)
(732) 873-5133
Entity
Organization
Contact information
Practice address
1685 S COLORADO BLVD # S-205, DENVER, CO 80222-4000
(732) 873-5133
(713) 481-8224
Mailing address
PO BOX 1288, CROSBY, TX 77532-1288
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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