Dr. Michael Gannon, MD
Family Medicine in Martinsville, New Jersey
1225441215- Practice location
- 1973 Washington Valley RD, Martinsville, NJ 08836-2053
- Phone
- 732-560-9225
- Fax
- 732-560-8095
- Last updated
- September 7, 2023
Michael Gannon is a Family Medicine based in Martinsville, NJ. Michael Gannon practices in Martinsville, NJ and has the professional credentials of MD. The NPI Number for Michael Gannon is 1225441215 and holds a License No. 25MA09511000 (NJ). The current practice location address for Michael Gannon is 1973 Washington Valley RD, Martinsville, NJ 08836-2053 and can be reached out via phone at 732-560-9225 and via fax at 732-560-8095.
Provider Profile Details
- NPI Number
- 1225441215
- Provider Name
- Michael Gannon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1973 Washington Valley RD, Martinsville, NJ 08836-2053
- Phone Number
- 732-560-9225
- Fax Number
- 732-560-8095
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 6, 2014
- Last Update Date
- September 7, 2023
- Certification Date
- September 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1973 Washington Valley RD
Martinsville, NJ 08836-2053 - City
- Martinsville
- State
- New Jersey
- Zip
- 08836-2053
- Phone Number
- 732-560-9225
- Fax Number
- 732-560-8095
Provider Business Mailing Address Details
- Address
- Po Box 416457
Boston, MA 02241-2053 - City
- Boston
- State
- MA
- Zip
- 02241-2053
- Phone Number
- 844-362-1735
- Fax Number
- 973-290-7495
License Information
- License Number
- 25MA09511000
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Martinsville, NJ
View all Family Medicine providers in Martinsville →Frequently Asked Questions
What is the NPI number of Dr. Michael Gannon, MD?
The NPI number of Dr. Michael Gannon, MD is 1225441215. It was assigned on June 6, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael Gannon, MD?
Dr. Michael Gannon, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA09511000.
Where does Dr. Michael Gannon, MD practice?
The practice location is 1973 Washington Valley RD, Martinsville, NJ 08836-2053. The office can be reached at 732-560-9225 (phone) or 732-560-8095 (fax).
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 1225441215 directly on the NPPES registry website.