Roger L Gully, CERTIFIED REHAB THER
Rehabilitation Practitioner in Clifton, New Jersey
1174539944- Practice location
- 62 Fairmount Ave, Clifton, NJ 07011-3007
- Phone
- 973-340-0890
- Fax
- —
- Last updated
- July 8, 2007
Roger Lee Gully is a Rehabilitation Practitioner based in Clifton, NJ. Roger Lee Gully practices in Clifton, NJ and has the professional credentials of CERTIFIED REHAB THER. The NPI Number for Roger Lee Gully is 1174539944 and holds a License No. 26BT00004800 (NJ). The current practice location address for Roger Lee Gully is 62 Fairmount Ave, Clifton, NJ 07011-3007 and can be reached out via phone at 973-340-0890.
Provider Profile Details
- NPI Number
- 1174539944
- Provider Name
- Roger Lee Gully
- Credential
- CERTIFIED REHAB THER
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 62 Fairmount Ave, Clifton, NJ 07011-3007
- Phone Number
- 973-340-0890
- Primary Taxonomy
- Rehabilitation Practitioner · 225400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 31, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 62 Fairmount Ave
Clifton, NJ 07011-3007 - City
- Clifton
- State
- New Jersey
- Zip
- 07011-3007
- Phone Number
- 973-340-0890
Provider Business Mailing Address Details
- Address
- 62 Fairmount Ave
Clifton, NJ 07011-3007 - City
- Clifton
- State
- NJ
- Zip
- 07011-3007
- Phone Number
- 973-340-0890
License Information
- License Number
- 26BT00004800
- License State
- NJ
- Taxonomy
- Rehabilitation Practitioner · 225400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Roger L Gully, CERTIFIED REHAB THER?
The NPI number of Roger L Gully, CERTIFIED REHAB THER is 1174539944. It was assigned on July 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Roger L Gully, CERTIFIED REHAB THER?
Roger L Gully, CERTIFIED REHAB THER is registered under the primary taxonomy Rehabilitation Practitioner (code 225400000X), licensed in NJ under license number 26BT00004800.
Where does Roger L Gully, CERTIFIED REHAB THER practice?
The practice location is 62 Fairmount Ave, Clifton, NJ 07011-3007. The office can be reached at 973-340-0890 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174539944 directly on the NPPES registry website.