Whalio Doctors

NPI 1043424484

Joseph a Gural, PTA

Practitioner Other Technician Newark, NJ

Practice location

Address
90 Bergen St, Newark, NJ 07103-2425
Phone
(973) 972-7189
Mailing address
16 Marlow Rd, East Brunswick, NJ 08816-1701

Registered specialties

Other Technician Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 40QB00146300 (NJ)

Registry record

NPI
1043424484
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 May 2007
Record last updated
8 Jul 2007

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.