Quartello, Gary Lawrence

Quartello, Gary Lawrence is an sole proprietor health care provider with primary practice located at 369 Springfield Ave , Berkeley Heights NJ 07922-1170. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Quartello, Gary Lawrence can be contacted via phone (908) 665-2772.

Contact Information

Primary practice address
369 Springfield Ave Berkeley Heights NJ 07922-1170
Phone: (908) 665-2772
Fax: (908) 665-0842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00140100 New Jersey

Profile Details

NPI number 1902804479
LBN Legal business name Quartello, Gary Lawrence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Sep 14th, 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 1902804479 NPPES
New Jersey Other 15852 MASTERCARE
New Jersey MEDICAID 2092808 MASTERCARE
New Jersey Other 1040011-027 MASTERCARE
New Jersey Other 480024315 MASTERCARE
New Jersey Other OK8635 MASTERCARE
New Jersey Other NEIC#23342 MASTERCARE
New Jersey Other UP155 MASTERCARE
New Jersey Other 03000-1401NJ01 MASTERCARE
New Jersey Other 22313390-01 MASTERCARE

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