Gimovsky, Martin L

Gimovsky, Martin L is an individual health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Gimovsky, Martin L can be contacted via phone (973) 926-4787.

Contact Information

Primary practice address
201 Lyons Ave Newark NJ 07112-2027
Phone: (973) 926-4787
Fax: (973) 923-7497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 25MA07246600 New Jersey

Profile Details

NPI number 1497721823
LBN Legal business name Gimovsky, Martin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1497721823 NPPES
New Jersey MEDICAID 8595607

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