Gans, Bruce Merrill

Gans, Bruce Merrill is an individual health care provider with primary practice located at 1199 Pleasant Valley Way , West Orange NJ 07052-1424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Gans, Bruce Merrill can be contacted via phone (973) 324-3658.

Contact Information

Primary practice address
1199 Pleasant Valley Way West Orange NJ 07052-1424
Phone: (973) 324-3658
Fax: (973) 324-3656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA07336800 New Jersey
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X 25MA07336800 New Jersey

Profile Details

NPI number 1437147816
LBN Legal business name Gans, Bruce Merrill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Apr 1st, 2011 - about 13 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 1437147816 NPPES
New Jersey MEDICAID 0050971

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