Dr. Gary M Brousell
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
21 Gilbert Street
Tinton Falls
, New Jersey 07724
Dr. Gary M Brousell
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
21 Gilbert Street
Tinton Falls
, New Jersey 07724
(732) 747-0961
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gary M Brousell
- 31 Wardell Cir
- Oceanport, NJ
- Zip : 07757-1610
- Fax : (732) 747-0961
- Phone : (732) 747-0993
Second Address
- Dr. Gary M Brousell
- 21 Gilbert Street
- Tinton Falls, NJ
- Zip : 07724
- Fax : (732) 747-0961
- Phone : (732) 747-0993
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 10690 | NJ |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 22DI0106000 | NJ |
National Provider Identifier
| NPI | 1356311302 |
|---|---|
| Provider Name | Dr. Gary M Brousell |
| First Address | Oceanport, NJ 07757-1610 |
| Second Address | Tinton Falls, NJ 07724 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 28/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1863401 | (05) | NJ |
| U24792 | (02) | 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.