NPI 1316418734

Brian Gaspar

Practitioner Family Nurse Practitioner Ledgewood, NJ

Practice location

Address: 1105 US Highway 46, Ledgewood, NJ 07852-9748
Phone: (973) 927-4662
Mailing address: 428 Vanderveer Rd, Bridgewater, NJ 08807-2556

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 26NJ00886500 (NJ)

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Registry record

NPI: 1316418734
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2018
Record last updated: 10 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.