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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CORY ALAN GOLLOUB, M.D.

Deactivated

DR. CORY ALAN GOLLOUB, M.D. is a Pediatrics healthcare provider located in MONTVILLE, New Jersey. NPI 1508867235 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · MONTVILLE, NJ

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1508867235
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2005 (0.63013698630137 yrs)
Last Updated
Jun 24, 2011
Deactivated
Mar 21, 2006
Licenses
MA55345 (NJ)
MA55345 (NJ)

Practice Information

Address
329 MAIN RD
MONTVILLE, NJ, 070459729
Browse NJ providers · Browse ZIP 07045
Phone
9733349404
Fax
9733347615
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in MONTVILLE, NJ

Name Credential NPI
DR. ALPANA D. GANDHI M.D. 1003871484
MS. SUSAN JOY MARGOLIN M.D. 1164455622
DR. SURBPARKASH KAUR SINGH M.D. 1891966024
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.