Statmore, Gary E
Statmore, Gary E is an individual health care provider with primary practice located at 245 Valley Blvd , Wood-Ridge NJ 07075-1236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Statmore, Gary E can be contacted via phone (201) 438-5500.Contact Information
Primary practice address
245 Valley Blvd
Wood-Ridge NJ 07075-1236
Phone: (201) 438-5500
Fax: (201) 438-3363
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA02277200 | New Jersey |
Profile Details
NPI number | 1588631048 |
---|---|
LBN Legal business name | Statmore, Gary E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588631048 | NPPES |
New Jersey | Other | 529713 | AETNA HMO |
New Jersey | Other | BP481 | AETNA HMO |
New Jersey | MEDICAID | 1458108 | AETNA HMO |
New Jersey | Other | 5356729010 | AETNA HMO |
New Jersey | Other | 5356729014 | AETNA HMO |
New Jersey | Other | 486391 | AETNA HMO |
New Jersey | Other | 0K3970 | AETNA HMO |
New Jersey | Other | 0081399000 | AETNA HMO |
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