Gabisan, Glenn G

Gabisan, Glenn G is an individual health care provider with primary practice located at 776 Shrewsbury Ave Suite 201, Tinton Falls NJ 07724-3006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Gabisan, Glenn G can be contacted via phone (732) 530-4949.

Contact Information

Primary practice address
776 Shrewsbury Ave Suite 201 Tinton Falls NJ 07724-3006
Phone: (732) 530-4949
Fax: (732) 530-3618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MA069963 New Jersey
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 25MA06996300 New Jersey

Profile Details

NPI number 1346227428
LBN Legal business name Gabisan, Glenn G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Dec 4th, 2017 - about 7 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 1346227428 NPPES
New Jersey Other 7679694 AETNA ID#
New Jersey MEDICAID 0047635 AETNA ID#
New Jersey MEDICAID 3222403 AETNA ID#
New Jersey Other P3362517 AETNA ID#
New Jersey Other CC3884 AETNA ID#
New Jersey Other P00163993 AETNA ID#
New Jersey Other J34051 AETNA ID#

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