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General NPI Number Information
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NPI Number | 1184633570
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Entity Type | Individual
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Provider Name | CAROL L GAGLIARDI MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 377 JERSEY AVE SUITE 220
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City | JERSEY CITY
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State | NJ
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Zip | 07302-4393
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Country | US
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Telephone | 201-309-2380
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Fax | 201-309-2381
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Provider Business Mailing Address
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Address Line | 355 GRAND STREET 4 EAST
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City | JERSEY CITY
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State | NJ
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Zip | 07302
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Country | US
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Telephone | 201-915-2466
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Fax | 201-915-2481
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MA48434
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | F9459
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MA48434
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License Number State | NJ
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