MEDICARE: DR. VASKO K. GULEVSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	25MA08275500	NJ

General Provider Information

NPI Number	:	1528011517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VASKO K. GULEVSKI M.D.

Provider Business Mailing Address
First Line	:	77-55 SCHANCK ROAD,
Second Line	:	SUITE B11
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-5305
Country	:	US
Telephone Number	:	732-515-6155
Fax Number	:	732-515-6165

Provider Business Practice Location Address
First Line	:	77-55 SCHANCK ROAD,
Second Line	:	SUITE B11
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-5305
Country	:	US
Telephone Number	:	732-515-6155
Fax Number	:	732-515-6165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/22/2020

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