Breitbart, Gary B

Breitbart, Gary B is an individual health care provider with primary practice located at 1511 Park Ave , South Plainfield NJ 07080-5516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Breitbart, Gary B can be contacted via phone (908) 561-9500.

Contact Information

Primary practice address
1511 Park Ave South Plainfield NJ 07080-5516
Fax: (908) 561-7162
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA03993700 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA03993700 New Jersey

Profile Details

NPI number 1073553400
LBN Legal business name Breitbart, Gary B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073553400 NPPES
New Jersey Other 1028839 CIGNA
New Jersey Other 1340660 CIGNA
New Jersey Other 0280166000 CIGNA
New Jersey Other 2292111 CIGNA
New Jersey Other ES137 CIGNA

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