Organization
GARY E. STATMORE M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY E STATMORE M.D. (OWNER)
(201) 438-5500
Entity
Organization
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
207Q00000X
Family Medicine Physician
Primary
25MA05862500
NJ
207RG0100X
Gastroenterology Physician
25MA02277200
NJ
Other
Enumeration date
11/15/2006
Last updated
09/11/2025
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