Healthcare Provider Details

I. General information

NPI: 1780842161
Provider Name (Legal Business Name): GALLOPING HILL SURGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 GALLOPING HILL RD
UNION NJ
07083-8937
US

IV. Provider business mailing address

4470 BORDENTOWN AVE
OLD BRIDGE NJ
08857-1737
US

V. Phone/Fax

Practice location:
  • Phone: 732-251-8000
  • Fax: 866-866-1056
Mailing address:
  • Phone: 732-251-8000
  • Fax: 866-866-1056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. LOUIS P ROCCO
Title or Position: CEO
Credential:
Phone: 800-244-4660