MEDICARE: SCOTT F GARBERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA58969	NJ

General Provider Information

NPI Number	:	1871564880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT F GARBERMAN MD

Provider Business Mailing Address
First Line	:	1338 ROUTE 38
Second Line	:
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-2754
Country	:	US
Telephone Number	:	609-261-2662
Fax Number	:	609-261-6980

Provider Business Practice Location Address
First Line	:	1338 ROUTE 38
Second Line	:
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-2754
Country	:	US
Telephone Number	:	609-261-2662
Fax Number	:	609-261-6980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	04/14/2008

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