| Charles L Gellido Md Llc | |
|
2137 Morris Ave Union NJ 07083-6002 | |
| (908) 686-7881 | |
| (908) 686-7889 |
| Full Name | Charles L Gellido Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2137 Morris Ave, Union, New Jersey |
| Authorized Official Name and Position | Charles Gellido (MD) |
| Authorized Official Contact | 9086867881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Gellido Md Llc 2137 Morris Ave Union NJ 07083-6002 Ph: (908) 686-7881 | Charles L Gellido Md Llc 2137 Morris Ave Union NJ 07083-6002 Ph: (908) 686-7881 |
| NPI Number | 1750683579 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 11/30/2010 |
| Medicare PECOS PAC ID | 4183804107 |
|---|---|
| Medicare Enrollment ID | O20110209000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750683579 | NPI | - | NPPES |
| 02179353 | Medicaid | NY | |
| 068883 | Other | NJ | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA06993900 (New Jersey) | Primary |
| Provider Name | Charles L Gellido |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124116942 PECOS PAC ID: 2062692197 Enrollment ID: I20110208000091 |
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