| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOHN JOSEPH GATTUSO | 1225744147 | 2024-03-09 |
John Joseph Gattuso is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225744147. Registration indicates John Joseph Gattuso is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | John Joseph Gattuso DMD |
| Practice Office Address | 350 ENGLE ST ENGLEWOOD, NJ US |
| Practice Office Telephone | 2018943000 |
| Mailing Address | 350 ENGLE ST ENGLEWOOD, NJ 076311898 US |
| Business Telephone | 2018943000 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
NJ |