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Individual

DR. TED MICHAEL GERSZBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 RIVER RD, SUITE C-2, MONTVILLE, NJ 07045-9441
(973) 402-9200
Mailing address
150 RIVER RD, SUITE C-2, MONTVILLE, NJ 07045-9441
(973) 402-9200

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA05939400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0657744000
AMERIHEALTH
01
0K5124
HEALTHNET
01
507659
AETNA
05
6063501
NJ
01
IS416
OXFORD HEALTH PLAN
Enumeration date
05/31/2006
Last updated
02/16/2010
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