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NPI Code Detail

MEDICARE: GARY PEPE M.D.

MEDICARE:   GARY  PEPE  M.D.
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
1207QA0000XAdolescent Medicine (Family Medicine) PhysicianMA29274NJ

General Provider Information

NPI Number : 1659301117
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY PEPE M.D.
Provider Business Mailing Address
First Line : 468 PARISH DR
Second Line : SUITE 6
City : WAYNE
State : NJ
Zip : 07470-4671
Country : US
Telephone Number : 973-686-2777
Fax Number : 973-686-2780
Provider Business Practice Location Address
First Line : 468 PARISH DR
Second Line : SUITE 6
City : WAYNE
State : NJ
Zip : 07470-4671
Country : US
Telephone Number : 973-785-2440
Fax Number : 973-785-0141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 09/20/2007

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Directions to “ GARY PEPE M.D.” Practice Location

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