Healthcare Provider Details

I. General information

NPI: 1164342911
Provider Name (Legal Business Name): CHRISTINA GULOTTA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 N DISBROW HILL RD
MONROE TOWNSHIP NJ
08831-5915
US

IV. Provider business mailing address

34 N DISBROW HILL RD
MONROE TOWNSHIP NJ
08831-5915
US

V. Phone/Fax

Practice location:
  • Phone: 732-637-2731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: