| Gisele Castelluber Pa | |
|
477 Stuyvesant Ave Lyndhurst NJ 07071-2625 | |
| (201) 933-2333 | |
| (201) 933-3885 |
| Full Name | Gisele Castelluber Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 477 Stuyvesant Ave, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Gisele B Castelluber (PRESIDENT) |
| Authorized Official Contact | 2019332333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gisele Castelluber Pa 477 Stuyvesant Ave Lyndhurst NJ 07071-2625 Ph: (201) 933-2333 | Gisele Castelluber Pa 477 Stuyvesant Ave Lyndhurst NJ 07071-2625 Ph: (201) 933-2333 |
| NPI Number | 1275712978 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275712978 | NPI | - | NPPES |
| 8070806 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA68373 (New Jersey) | Primary |
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