Oberg, Gary D

Oberg, Gary D is an individual health care provider with primary practice located at 211 Church St , Saratoga Springs NY 12866-1046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Oberg, Gary D can be contacted via phone (518) 584-9030.

Contact Information

Primary practice address
211 Church St Saratoga Springs NY 12866-1046
Phone: (518) 584-9030
Fax: (518) 581-1709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 150573-1 New York

Profile Details

NPI number 1407820954
LBN Legal business name Oberg, Gary D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 6th, 2008 - about 16 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 1407820954 NPPES
New York MEDICAID 00639496

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