Gary B Nackman
Vascular Surgeon
1037 Us Highway 46 Suite 202
Clifton
, New Jersey 07013-2451
Gary B Nackman
Vascular Surgeon
1037 Us Highway 46 Suite 202
Clifton
, New Jersey 07013-2451
(973) 860-1148
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Gary B Nackman
- 1037 Us Highway 46 Suite 202
- Clifton, NJ
- Zip : 07013-2451
- Fax : (973) 860-1148
- Phone : (973) 778-2222
Second Address
- Gary B Nackman
- 1037 Us Highway 46 Suite 202
- Clifton, NJ
- Zip : 07013-2451
- Fax : (973) 860-1148
- Phone : (973) 778-2222
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | MA64837 | NJ |
National Provider Identifier
| NPI | 1114096765 |
|---|---|
| Provider Name | Gary B Nackman |
| First Address | Clifton, NJ 07013-2451 |
| Second Address | Clifton, NJ 07013-2451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 28/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7069707 | (05) | NJ |
| 760000191 | RR MCR PTAN (01) | NJ |
| G38061 | (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.