Individual
DR. GARY B BREITBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1511 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5516
(908) 561-9500
(908) 561-7162
Mailing address
1511 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5516
(908) 561-9500
(908) 561-7162
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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