Provider Demographics
NPI:1003990813
Name:GEORGE C. ALBER, MD
Entity Type:Organization
Organization Name:GEORGE C. ALBER, MD
Other - Org Name:ORTHOPEDIC CENTER OF GALLOWAY, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ALBER
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:609-404-3353
Mailing Address - Street 1:18 E JIMMIE LEEDS RD
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9510
Mailing Address - Country:US
Mailing Address - Phone:609-404-3353
Mailing Address - Fax:
Practice Address - Street 1:18 E JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9510
Practice Address - Country:US
Practice Address - Phone:609-404-3353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA56556207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1386688547OtherINDIVIDUAL NPI
NJE97838Medicare UPIN
NJ4473520001Medicare NSC
NJ686822Medicare PIN