Individual
DR. ADAM C. GILLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27 E CHESTNUT AVE, MERCHANTVILLE, NJ 08109-2504
(856) 662-0424
(856) 662-7404
Mailing address
27 E CHESTNUT AVE, MERCHANTVILLE, NJ 08109-2504
(856) 662-0424
(856) 662-7404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB59981
NJ
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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