Basic Information
Provider Information
NPI: 1447320437
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GAERMAN
FirstName: MOSHE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1512 PRESIDENT ST
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112134543
CountryCode: US
TelephoneNumber: 7182836379
FaxNumber: 7182837436
Practice Location
Address1: 4802 10TH AVE.
Address2: MAIMONIDES HOPSITAL
City: BROOKLYN
State: NY
PostalCode: 11219
CountryCode: US
TelephoneNumber: 7182836000
FaxNumber: 7182837436
Other Information
ProviderEnumerationDate: 11/08/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X147654NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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