Mascilak, Gary J

Mascilak, Gary J is an individual health care provider with primary practice located at 540 Lafayette Rd Route 15 So Suite B, Sparta NJ 07871. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mascilak, Gary J can be contacted via phone (973) 940-8680.

Contact Information

Primary practice address
540 Lafayette Rd Route 15 So Suite B Sparta NJ 07871
Phone: (973) 940-8680
Fax: (973) 940-8634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00455100 New Jersey
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 40QA00611400 New Jersey

Profile Details

NPI number 1881680742
LBN Legal business name Mascilak, Gary J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 22nd, 2010 - about 14 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 1881680742 NPPES
New Jersey MEDICAID 8380406

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