MEDICARE: DR. JAMES P GULLA

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	101YM0800X	Mental Health Counselor	342	NH

General Provider Information

NPI Number	:	1922200658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES P GULLA

Provider Business Mailing Address
First Line	:	13 HOLLOW OAK DR
Second Line	:
City	:	SANDOWN
State	:	NH
Zip	:	03873-2113
Country	:	US
Telephone Number	:	603-770-1265
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 HOLLOW OAK DR
Second Line	:
City	:	SANDOWN
State	:	NH
Zip	:	03873-2113
Country	:	US
Telephone Number	:	603-770-1265
Fax Number	:

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	09/24/2024

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