NPI 1356311302

Gary M Brousell, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Tinton Falls, NJ

Practice location

Address: 21 Gilbert Street, Tinton Falls, NJ 07724
Phone: (732) 747-0993
Fax: (732) 747-0961
Mailing address: 31 Wardell Cir, Oceanport, NJ 07757-1610

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 22DI0106000 (NJ)

Other Oral & Maxillofacial Surgery providers in New Jersey →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 10690 (NJ)

Other Dentist providers in New Jersey →

Registry record

NPI: 1356311302
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2006
Record last updated: 28 Jun 2012

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.