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Contact Information

GUSTAV L IBRANYI JR, DPM
390 UNION AVE
BELLEVILLE, NJ07109-2164
 Phone: 973-759-4790
 Fax: 973-759-4791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GUSTAV L IBRANYI JR · (Male)

NPI Number 1740263219
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/29/2005
Last updated 07/12/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00130400
  • NJ Medicaid 1482106
Hospital affiliation(s)
  • SAINT MICHAEL'S MEDICAL CENTER INC - (Acute Care)
    111 CENTRAL AVENUE
    NEWARK, NJ 07102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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