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NPI Code Detail

MEDICARE: DR. MARC B. GELBER DMD

MEDICARE: DR. MARC B. GELBER DMD
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
1122300000XDentistD02669500NJ

General Provider Information

NPI Number : 1275803322
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC B. GELBER DMD
Provider Business Mailing Address
First Line : 133 NEW MONMOUTH RD
Second Line :
City : MIDDLETOWN
State : NJ
Zip : 07748-2232
Country : US
Telephone Number : 732-671-3501
Fax Number : 732-671-3503
Provider Business Practice Location Address
First Line : 133 NEW MONMOUTH RD
Second Line :
City : MIDDLETOWN
State : NJ
Zip : 07748-2232
Country : US
Telephone Number : 732-671-3501
Fax Number : 732-671-3503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 01/06/2012

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