Gewolb, Eric

Gewolb, Eric is an sole proprietor health care provider with primary practice located at 830 Kennedy Blvd , Bayonne NJ 07002-2872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gewolb, Eric can be contacted via phone (201) 339-0200.

Contact Information

Primary practice address
830 Kennedy Blvd Bayonne NJ 07002-2872
Phone: (201) 339-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA03446400 New Jersey

Profile Details

NPI number 1326094871
LBN Legal business name Gewolb, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326094871 NPPES
New Jersey Other 4412155 PALMETTOGBA
New Jersey Other 222264078 PALMETTOGBA
New Jersey Other 2264078 PALMETTOGBA
New Jersey MEDICAID 1014315 PALMETTOGBA
New Jersey Other 222264078 PALMETTOGBA

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