Doctor Name: | WILLIAM GILLIGAN |
NPI Number: | 1316940638 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 40QA00376400 |
Business Practice Address: | 2 Forest Ave Suite 2 First Floor Paramus, NJ - 076525246 |
Business Phone Number: | 2015871111 |
Business Fax Number: | 2015878192 |
Mailing Address: | 2 Forest Ave, Suite 2 First Floor PARAMUS |
State: | NJ |
Postal Code: | 076525246 |
Phone Number: | 2015871111 |
Fax Number: | 2015878192 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40QA00376400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |