Provider Demographics
NPI:1518901388
Name:GALL, JULIUS L (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:L
Last Name:GALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 BREWSTER BLVD
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:CAMP LEJEUNE
Mailing Address - State:NC
Mailing Address - Zip Code:28547-2538
Mailing Address - Country:US
Mailing Address - Phone:910-450-4159
Mailing Address - Fax:910-450-4194
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:NAVAL HOSPITAL
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2538
Practice Address - Country:US
Practice Address - Phone:910-450-4159
Practice Address - Fax:910-450-4194
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2011-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04012500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ080000139OtherRAILROAD MEDICARE
NJD06875Medicare UPIN