Dr. Gary B Breitbart
Surgeon Vascular Surgeon
1511 Park Ave
South Plainfield
, New Jersey 07080-5516
Dr. Gary B Breitbart
Surgeon Vascular Surgeon
1511 Park Ave
South Plainfield
, New Jersey 07080-5516
(908) 561-7162
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gary B Breitbart
- 1511 Park Ave
- South Plainfield, NJ
- Zip : 07080-5516
- Fax : (908) 561-7162
- Phone : (908) 561-9500
Second Address
- Dr. Gary B Breitbart
- 1511 Park Ave
- South Plainfield, NJ
- Zip : 07080-5516
- Fax : (908) 561-7162
- Phone : (908) 561-9500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 25MA03993700 | NJ |
| N | 208600000X | Surgeon | 25MA03993700 | NJ |
| Y | 2086S0129X | Vascular Surgeon | 25MA03993700 | NJ |
National Provider Identifier
| NPI | 1073553400 |
|---|---|
| Provider Name | Dr. Gary B Breitbart |
| First Address | South Plainfield, NJ 07080-5516 |
| Second Address | South Plainfield, NJ 07080-5516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 24/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0280166000 | AMERIHEALTH (01) | NJ |
| 1028839 | CIGNA (01) | NJ |
| 1340660 | UNITED HEALTHCARE (01) | NJ |
| 2292111 | AETNA (01) | NJ |
| C62902 | (02) | NJ |
| ES137 | OXFORD (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.