Provider Demographics
NPI:1073627949
Name:GILHOOLY, PATRICIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:E
Last Name:GILHOOLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:122 GLENMERE DR
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1351
Mailing Address - Country:US
Mailing Address - Phone:973-701-0913
Mailing Address - Fax:973-701-0506
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:VA NEW JERSEY HEALTH CARE SYSTEM (112) SURGERY
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:973-395-7197
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA060709208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6306705Medicaid
NJGI532732Medicare ID - Type Unspecified
NJ6306705Medicaid
NJ084518Medicare ID - Type Unspecified