Degrande, Gary Chris
Degrande, Gary Chris is an individual health care provider with primary practice located at 33 N Fullerton Ave , Montclair NJ 07042-3464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Degrande, Gary Chris can be contacted via phone (973) 744-2226.Contact Information
Primary practice address
33 N Fullerton Ave
Montclair NJ 07042-3464
Phone: (973) 744-2226
Fax: (973) 509-0978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA03910400 | New Jersey |
Profile Details
| NPI number | 1275609380 |
|---|---|
| LBN Legal business name | Degrande, Gary Chris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Apr 16th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275609380 | NPPES |
| New Jersey | MEDICAID | 47315986J |
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