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Mr. Michael J. Gullotti
Student in an Organized Health Care Education/Training Program in Allentown, Pennsylvania
NPI 1891920344

Michael J. Gullotti is a Student in an Organized Health Care Education/Training Program based in Glenside, PA. Michael J. Gullotti practices in Allentown, PA. The NPI Number for Michael J. Gullotti is 1891920344 and holds a License No. 1018830 (Pennsylvania).

The current practice location address for Michael J. Gullotti is 301 N 4Th St, Allentown, PA and can be reached out via phone at 610-437-4601. You can also correspond with Michael J. Gullotti through the mailing address at 639 W GLENSIDE AVE, GLENSIDE, PA - 19038-2101 (mailing address contact number: 215-694-3923).

Location: 301 N 4Th St, Allentown, PA, 19038-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891920344
Provider Name
Michael J. Gullotti
Credential
Provider Entity Type
Individual
Gender
Male
Address
301 N 4Th St, Allentown, PA, 19038-2101
Phone Number
610-437-4601
Fax Number
Provider Enumeration Date
05/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 N 4Th St
City
Allentown
State
Pennsylvania
Zip
18102-3007
Phone Number
610-437-4601
Fax Number
person
Provider Business Mailing Address Details
Address
301 N 4Th St
City
Allentown
State
Pennsylvania
Zip
18102-3007
Phone Number
610-437-4601
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1018830 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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