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

DR. JUAN J GARGIULO, MD

Active Sole Proprietor

Interventional Vascular Surgery · SOUTHAMPTON, NY

Registration Details

NPI Number
1780639419
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (19.954279455051 yrs)
Last Updated
Jun 14, 2012
Licenses
181791 (NY)
181791 (NY)
181791 (NY)
Sole Proprietor
Yes

Practice Information

Address
365 COUNTY ROAD 39A
SUITE 15 & 16
SOUTHAMPTON, NY, 119685284
Browse NY providers · Browse ZIP 11968
Phone
6317022300
Fax
6317022303
Primary Specialty
Interventional Vascular Surgery
208VP0014X
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.