Healthcare Provider Details

I. General information

NPI: 1871564880
Provider Name (Legal Business Name): SCOTT F GARBERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 ROUTE 38
HAINESPORT NJ
08036-2754
US

IV. Provider business mailing address

1338 ROUTE 38
HAINESPORT NJ
08036-2754
US

V. Phone/Fax

Practice location:
  • Phone: 609-261-2662
  • Fax: 609-261-6980
Mailing address:
  • Phone: 609-261-2662
  • Fax: 609-261-6980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA58969
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: