Zuckerman, Gary Bruce

Zuckerman, Gary Bruce is an sole proprietor health care provider with primary practice located at 3084 Highway 27 Suite 6, Kendall Park NJ 08824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Zuckerman, Gary Bruce can be contacted via phone (732) 821-0595.

Contact Information

Primary practice address
3084 Highway 27 Suite 6 Kendall Park NJ 08824
Fax: (732) 821-1174
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MA60083 New Jersey
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 177662-1 New Jersey

Profile Details

NPI number 1174672463
LBN Legal business name Zuckerman, Gary Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
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 1174672463 NPPES
New Jersey MEDICAID 02337171

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