Individual
GARY B NACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1037 US HIGHWAY 46, SUITE 202, CLIFTON, NJ 07013-2451
(973) 778-2222
(973) 860-1148
Mailing address
1037 US HIGHWAY 46, SUITE 202, CLIFTON, NJ 07013-2451
(973) 778-2222
(973) 860-1148
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MA64837
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7069707
—
NJ
01
—
760000191
RR MCR PTAN
NJ
Enumeration date
11/07/2006
Last updated
01/28/2020
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