Provider Demographics
NPI:1447430657
Name:THE PULMONARY GROUP, P.A.
Entity Type:Organization
Organization Name:THE PULMONARY GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-766-6605
Mailing Address - Street 1:416 MOUNT AIRY RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2401
Mailing Address - Country:US
Mailing Address - Phone:908-766-6605
Mailing Address - Fax:
Practice Address - Street 1:416 MOUNT AIRY RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2401
Practice Address - Country:US
Practice Address - Phone:908-766-6605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO03597600207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC56301Medicare UPIN