1427282987 NPI number — DR. KARA DEFILIPPIS GOGLIA M.D.

Table of content: DR. KARA DEFILIPPIS GOGLIA M.D. (NPI 1427282987)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427282987 NPI number — DR. KARA DEFILIPPIS GOGLIA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOGLIA
Provider First Name:
KARA
Provider Middle Name:
DEFILIPPIS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427282987
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 WALTER E FORAN BLVD STE 302
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLEMINGTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08822-4668
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-284-5295
Provider Business Mailing Address Fax Number:
908-806-3478

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 WALTER FORAN BLVD
Provider Second Line Business Practice Location Address:
STE 302
Provider Business Practice Location Address City Name:
FLEMINGTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08822-4664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-806-0080
Provider Business Practice Location Address Fax Number:
908-806-3478
Provider Enumeration Date:
05/12/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  25MA08917300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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