Individual
GARY E STATMORE
Active
Individual
GARY E STATMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA02277200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081399000
AMERIHEALTH
NJ
01
—
0K3970
HEALTHNET
NJ
05
—
1458108
—
NJ
01
—
486391
AETNA PPO
NJ
01
—
529713
AETNA HMO
NJ
01
—
5356729010
CIGNA HMO PCP
NJ
01
—
5356729014
CIGNA HMO SPECIALIST
NJ
01
—
BP481
OXFORD
NJ
Enumeration date
03/03/2006
Last updated
07/13/2026
Update your record
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