Individual
MARK GANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-3376
Mailing address
25 PATRICIAN DR, TOMS RIVER, NJ 08753-4235
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA07232600
NJ
207L00000X
Anesthesiology Physician
Primary
ME177660
FL
Other
Enumeration date
06/13/2006
Last updated
11/04/2025
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