| Doctor Name: | DR. GIOACCHINO AJ AJ PATUTO |
| NPI Number: | 1063822336 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 12 Morris Ave Summit, NJ - 079013920 |
| Business Phone Number: | 9082735954 |
| Business Fax Number: | |
| Mailing Address: | 12 Morris Ave, SUMMIT |
| State: | NJ |
| Postal Code: | 079013920 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2014 |
| NPI Last Update Date: | 05/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |