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NPI Code Detail

MEDICARE: MARTIN GILLESPIE

MEDICARE:   MARTIN  GILLESPIE
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ15548200NJ

General Provider Information

NPI Number : 1841135472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN GILLESPIE
Provider Business Mailing Address
First Line : 76 JACKSON ST APT 1R
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-6057
Country : US
Telephone Number : 201-675-4718
Fax Number :
Provider Business Practice Location Address
First Line : 76 JACKSON ST APT 1R
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-6057
Country : US
Telephone Number : 201-675-4718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ MARTIN GILLESPIE ” Practice Location

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