Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY M BROUSELL, D.D.S.
ActiveDR. GARY M BROUSELL, D.D.S. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in TINTON FALLS, New Jersey. NPI 1356311302 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · TINTON FALLS, NJ
Registration Details
- NPI Number
- 1356311302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2006 (20.583616288492 yrs)
- Last Updated
- Jun 28, 2012
- Licenses
-
10690 (NJ)22DI0106000 (NJ)
Practice Information
- Address
-
21 GILBERT STREETTINTON FALLS, NJ, 07724Browse NJ providers · Browse ZIP 07724
- Phone
- 7327470993
- Fax
- 7327470961
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.