Individual
DR. GARY LAWRENCE QUARTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
369 SPRINGFIELD AVE, BERKELEY HEIGHTS, NJ 07922-1170
(908) 665-2772
(908) 665-0842
Mailing address
369 SPRINGFIELD AVE, PO BOX 97, BERKELEY HEIGHTS, NJ 07922-1170
(908) 665-2772
(908) 665-0842
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00140100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03000-1401NJ01
ANTHEM HEALTH
NJ
01
—
1040011-027
CIGNA
NJ
01
—
15852
MASTERCARE
NJ
05
—
2092808
—
NJ
01
—
22313390-01
PRUDENTIAL
NJ
01
—
480024315
RAILROADMEDICARE
NJ
01
—
NEIC#23342
QUALCARE
NJ
01
—
OK8635
FIRST OPTION
NJ
01
—
UP155
OXFORD
NJ
Enumeration date
07/08/2005
Last updated
09/14/2007
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