Whalio Doctors

NPI 1003302670

Stefan Adrian Gillen, DO

Practitioner Epilepsy Physician Pompton Plains, NJ

Practice location

Address
242 W Parkway, Pompton Plains, NJ 07444-1029
Phone
(862) 248-8100
Fax
(862) 248-8166
Mailing address
PO Box 416457, Boston, MA 02241-6457

Registered specialties (2)

Epilepsy Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084E0001X Licence 25MB11831000 (NJ)
Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 25MB11831000 (NJ)

Registry record

NPI
1003302670
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jul 2018
Record last updated
11 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.