Provider Demographics
NPI:1285797712
Name:STEINBACH, GARY BRUCE (MD)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:BRUCE
Last Name:STEINBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4 ETHEL ROAD
Mailing Address - Street 2:SUITE 402B
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817
Mailing Address - Country:US
Mailing Address - Phone:732-287-3643
Mailing Address - Fax:732-287-3406
Practice Address - Street 1:4 ETHEL ROAD
Practice Address - Street 2:SUITE 402B
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817
Practice Address - Country:US
Practice Address - Phone:732-287-3643
Practice Address - Fax:732-287-3406
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03910207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2K4473OtherHEALTHNET
668E4OtherEMPIRE
LP069OtherOXFORD
3344920OtherAETNA
NJ1378708Medicaid
2K4473OtherHEALTHNET
C53409Medicare UPIN