Organization
MICHAEL C GARTNER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C GARTNER D.O. (DELEGATED OFFICIAL)
(201) 265-1300
Entity
Organization
Contact information
Practice address
3 WINSLOW PL, PARAMUS, NJ 07652-2709
(201) 546-1890
(201) 546-1893
Mailing address
3 WINSLOW PL, PARAMUS, NJ 07652-2709
(201) 546-1890
(201) 546-1893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB06848500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2800738000
AMERIHEALTH GROUP #
NJ
Enumeration date
01/04/2007
Last updated
08/23/2010
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