Provider Demographics
NPI:1013403559
Name:GAGLIO, PAUL JOSEPH JR (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JOSEPH
Last Name:GAGLIO
Suffix:JR
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:82 BLOOMFIELD ST
Mailing Address - Street 2:APT 3A
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4578
Mailing Address - Country:US
Mailing Address - Phone:551-404-3070
Mailing Address - Fax:
Practice Address - Street 1:170 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2612
Practice Address - Country:US
Practice Address - Phone:212-312-5746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-08-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical