| Organization Name: | DENVILLE FAMILY PRACTICE, PC |
| NPI Number: | 1295936383 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELMER S GILO (PRESIDENT) |
| Mailing Address: | 16 Pocono Rd Suite 307 Denville |
| State: | NJ US |
| Postal Code: | 078342901 |
| Phone Number: | 9736253515 |
| Fax Number: | 9736272842 |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA03569500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |