Individual
GARY A EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST, SUITE 4200, NEW BRUNSWICK, NJ 08901-1962
(732) 235-6600
(732) 235-6650
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05849900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7300701
—
NJ
05
—
9085203
—
NJ
Enumeration date
09/15/2006
Last updated
01/06/2011
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