Individual
GARY E STATMORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 VALLEY BLVD, WOOD-RIDGE, NJ 07075-1236
(201) 438-5500
(201) 438-3363
Mailing address
245 VALLEY BLVD, WOOD-RIDGE, NJ 07075-1236
(201) 438-5500
(201) 438-3363
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
07/09/2007
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