Provider Demographics
NPI:1871564880
Name:GARBERMAN, SCOTT F (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:F
Last Name:GARBERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 ROUTE 38
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2754
Mailing Address - Country:US
Mailing Address - Phone:609-261-2662
Mailing Address - Fax:609-261-6980
Practice Address - Street 1:1338 ROUTE 38
Practice Address - Street 2:
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-2754
Practice Address - Country:US
Practice Address - Phone:609-261-2662
Practice Address - Fax:609-261-6980
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-28
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58969174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF48324Medicare UPIN
NJ473589DH6Medicare PIN