Dr. Gary C Degrande, MD
Surgery in Montclair, New Jersey
1275609380- Practice location
- 33 N Fullerton Ave, Montclair, NJ 07042-3464
- Phone
- 973-744-2226
- Fax
- 973-509-0978
- Last updated
- April 16, 2013
Gary Chris Degrande is a Surgery based in Montclair, NJ. Gary Chris Degrande practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Gary Chris Degrande is 1275609380 and holds a License No. 25MA03910400 (NJ). The current practice location address for Gary Chris Degrande is 33 N Fullerton Ave, Montclair, NJ 07042-3464 and can be reached out via phone at 973-744-2226 and via fax at 973-509-0978.
Provider Profile Details
- NPI Number
- 1275609380
- Provider Name
- Gary Chris Degrande
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 33 N Fullerton Ave, Montclair, NJ 07042-3464
- Phone Number
- 973-744-2226
- Fax Number
- 973-509-0978
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 28, 2006
- Last Update Date
- April 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 N Fullerton Ave
Montclair, NJ 07042-3464 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3464
- Phone Number
- 973-744-2226
- Fax Number
- 973-509-0978
Provider Business Mailing Address Details
- Address
- 33 N Fullerton Ave
Montclair, NJ 07042-3464 - City
- Montclair
- State
- NJ
- Zip
- 07042-3464
- Phone Number
- 973-744-2226
- Fax Number
- 973-509-0978
License Information
- License Number
- 25MA03910400
- License State
- NJ
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Montclair, NJ
View all Surgery providers in Montclair →Frequently Asked Questions
What is the NPI number of Dr. Gary C Degrande, MD?
The NPI number of Dr. Gary C Degrande, MD is 1275609380. It was assigned on November 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Gary C Degrande, MD?
Dr. Gary C Degrande, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA03910400.
Where does Dr. Gary C Degrande, MD practice?
The practice location is 33 N Fullerton Ave, Montclair, NJ 07042-3464. The office can be reached at 973-744-2226 (phone) or 973-509-0978 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275609380 directly on the NPPES registry website.