Provider Demographics
NPI:1831162403
Name:GUSS, HOWARD N (DO)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:N
Last Name:GUSS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3200 SUNSET AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4567
Mailing Address - Country:US
Mailing Address - Phone:732-775-9000
Mailing Address - Fax:
Practice Address - Street 1:3200 SUNSET AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4556
Practice Address - Country:US
Practice Address - Phone:732-775-9000
Practice Address - Fax:732-775-6660
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB05737200207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0K7976OtherHEALTHNET
NJ6948006Medicaid
NJ223360408-028OtherQUALCARE
NJ110173264OtherRAILROAD MEDICARE
NJP441487OtherOXFORD
NJ0K7976OtherHEALTHNET
NJP441487OtherOXFORD