person
Dr. John P Detullio, MD,FCCP
Pulmonary Disease Physician in Freehold, New Jersey
NPI 1184738940

John P Detullio is a Pulmonary Disease Physician based in Freehold, NJ and is specialized in Pulmonary Disease. John P Detullio practices in Freehold, NJ and has the professional credentials of MD,FCCP. The NPI Number for John P Detullio is 1184738940 and holds a License No. 25MA04345700 (New Jersey).

The current practice location address for John P Detullio is 901 W Main St, Freehold, NJ and can be reached out via phone at 732-577-0600 and via fax at 732-577-6332.

Location: 901 W Main St, Freehold, NJ, 07728-2537
person
Provider Profile Details
NPI Number
1184738940
Provider Name
John P Detullio
Credential
MD,FCCP
Provider Entity Type
Individual
Gender
Male
Address
901 W Main St, Freehold, NJ, 07728-2537
Phone Number
732-577-0600
Fax Number
732-577-6332
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03F88 01 NY EMPIRE BCBS
1431005 05 NJ
110098315 01 NJ MEDICARE RAILROAD
41014 01 NJ AETNA
MS044 01 NJ OXFORD
4093697 01 NJ AETNA
223019073-002 01 NJ QUALCARE
F00797 01 NJ HEALTH NET OF NJ
223019073 01 NJ TAX IDENTIFICATION NUMBER
223019073-002 01 NJ ST. BARNABAS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
901 W Main St
City
State
Zip
07728-2537
Phone Number
732-577-0600
Fax Number
732-577-6332
person
Provider Business Mailing Address Details
Address
901 W Main St
City
State
Zip
07728-2537
Phone Number
732-577-0600
Fax Number
732-577-6332
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
License No.
25MA04345700 (New Jersey)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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