Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 25MA05950600 | NJ |
NPI | 1033103957 |
---|---|
Provider Name | George M Gabuzda |
First Address | Eatontown, NJ 07724-2265 |
Second Address | Eatontown, NJ 07724-2265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5519501 | (05) | NJ |
E54786 | (02) |