| Dr John G Gallucci, MD | |
| 
					254 Easton Ave, New Brunswick, NJ 08901-1766  | |
| (732) 565-5482 | |
| (732) 249-5284 | 
| Full Name | Dr John G Gallucci | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Pediatric Surgery | 
| Location | 254 Easton Ave, New Brunswick, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245295153 | NPI | - | NPPES | 
| 7685904 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | MA56866 (New Jersey) | Primary | 
| Entity Name | Saint Peters University Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114924834 PECOS PAC ID: 9931012382 Enrollment ID: O20040112000043  | 
| Entity Name | Saint Peter's Healthcare System Physician Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548569361 PECOS PAC ID: 9537337258 Enrollment ID: O20110725000726  | 
| Entity Name | Saint Peter's Specialty Physicians Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861894982 PECOS PAC ID: 8426373952 Enrollment ID: O20150204001582  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr John G Gallucci, MD 254 Easton Ave, New Brunswick, NJ 08901-1766 Ph: (732) 565-5482  | Dr John G Gallucci, MD 254 Easton Ave, New Brunswick, NJ 08901-1766 Ph: (732) 565-5482  | 
Dr. Henry Richard Alexander Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Little Albany St Ste 1134, New Brunswick, NJ 08901 Phone: 732-235-7615  | |
Huong Truong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 480-452-4711  | |
Gustavo Bauza, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson Street Suite 6300, Robert Wood Johnson Medical School Division Of Acs, New Brunswick, NJ 08901 Phone: 732-235-7766  | |
Dr. Marc William Lafonte, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-828-3000  | |
Albert Assad, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8571 Fax: 732-249-5284  | |
Dr. Georg N Herlitz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 125 Paterson St, Clinical Academic Building, Dept Of Surgery, New Brunswick, NJ 08901 Phone: 646-382-2730  | |
Victoria Needham, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson St Ste 4100, New Brunswick, NJ 08901 Phone: 732-235-7920  |