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John Gilligan

Student in an Organized Health Care Education/Training Program in Voorhees, NJ. Individual provider (NPI-1).

NPI number1760242515
StatusActive
Last updated in NPPESMar 20, 2024

Details

NPI
1760242515
Entity type
Individual (NPI-1)
Name
John Gilligan
Sex
Male
Sole proprietor
No
Enumeration date
Mar 20, 2024
Certification date
Mar 20, 2024
Last updated
Mar 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2225 E Evesham Rd
Voorhees, NJ 08043-1557

Phone 856-325-3737

Mailing address

2629 Pennington Dr
Wilmington, DE 19810-2444

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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