Statmore, Gary E

Statmore, Gary E is an individual health care provider with primary practice located at 245 Valley Blvd , Wood-Ridge NJ 07075-1236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Statmore, Gary E can be contacted via phone (201) 438-5500.

Contact Information

Primary practice address
245 Valley Blvd Wood-Ridge NJ 07075-1236
Phone: (201) 438-5500
Fax: (201) 438-3363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA02277200 New Jersey

Profile Details

NPI number 1588631048
LBN Legal business name Statmore, Gary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1588631048 NPPES
New Jersey Other 529713 AETNA HMO
New Jersey Other BP481 AETNA HMO
New Jersey MEDICAID 1458108 AETNA HMO
New Jersey Other 5356729010 AETNA HMO
New Jersey Other 5356729014 AETNA HMO
New Jersey Other 486391 AETNA HMO
New Jersey Other 0K3970 AETNA HMO
New Jersey Other 0081399000 AETNA HMO

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