Healthcare Provider Details

I. General information

NPI: 1982606919
Provider Name (Legal Business Name): WILLIAM J. GILHOOL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 01/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4148 LANCASTER AVE
PHILADELPHIA PA
19104-1727
US

IV. Provider business mailing address

4148 LANCASTER AVE
PHILADELPHIA PA
19104-1727
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-0119
  • Fax: 215-662-5339
Mailing address:
  • Phone: 215-662-0119
  • Fax: 215-662-5339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS002886L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberOS002886L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS002886L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: