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Individual
DR. GARY B BREITBART
Active
Individual
DR. GARY B BREITBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA03993700
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA03993700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280166000
AMERIHEALTH
NJ
01
—
1028839
CIGNA
NJ
01
—
1340660
UNITED HEALTHCARE
NJ
01
—
2292111
AETNA
NJ
01
—
ES137
OXFORD
NJ
Enumeration date
06/07/2006
Last updated
06/24/2015
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