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.
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 |
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