Gerszberg, Ted Michael

Gerszberg, Ted Michael is an sole proprietor health care provider with primary practice located at 150 River Rd Suite C-2, Montville NJ 07045-9441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gerszberg, Ted Michael can be contacted via phone (973) 402-9200.

Contact Information

Primary practice address
150 River Rd Suite C-2 Montville NJ 07045-9441
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA05939400 New Jersey

Profile Details

NPI number 1225075237
LBN Legal business name Gerszberg, Ted Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Feb 16th, 2010 - about 15 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 1225075237 NPPES
New Jersey MEDICAID 6063501
New Jersey Other IS416
New Jersey Other 507659
New Jersey Other 0657744000
New Jersey Other 0K5124

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