Search › New Jersey › 156FX1800X
Derek Gordillo
NPI 1972326064 · on the registry since 2024
Practice
- Address
- 322 Llewellyn Ave.
Richland, NJ 08350 - Phone
- (856) 285-9698
- Fax
- (856) 697-0128
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey