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NPI Code Detail

MEDICARE: DR. GARY D BRESLOW M.D.

MEDICARE:  DR. GARY D BRESLOW  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
1208200000XPlastic Surgery PhysicianMA07627100NJ
22082S0105XSurgery of the Hand (Plastic Surgery) PhysicianMA07627100NJ

General Provider Information

NPI Number : 1861461212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY D BRESLOW M.D.
Provider Business Mailing Address
First Line : 1 W RIDGEWOOD AVE
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-2361
Country : US
Telephone Number : 201-444-9522
Fax Number : 201-444-9277
Provider Business Practice Location Address
First Line : 1 W RIDGEWOOD AVE
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-2359
Country : US
Telephone Number : 201-444-9522
Fax Number : 201-444-9277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 09/11/2025

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Directions to “ DR. GARY D BRESLOW M.D.” Practice Location

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