# DR. GARY B BREITBART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073553400
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 25MA03993700 | NJ | — |
| 2086S0129X | Vascular Surgery Physician | 25MA03993700 | NJ | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 06/24/2015

## 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 |