Provider Demographics
NPI:1477594117
Name:GARBER, BRETT ANDREW (DO, LLC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:ANDREW
Last Name:GARBER
Suffix:
Gender:M
Credentials:DO, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 E EVESHAM RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1421
Mailing Address - Country:US
Mailing Address - Phone:856-616-9200
Mailing Address - Fax:856-616-1100
Practice Address - Street 1:1605 E EVESHAM RD
Practice Address - Street 2:SUITE 201
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1421
Practice Address - Country:US
Practice Address - Phone:856-616-9200
Practice Address - Fax:856-616-1100
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB0720732086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0099163Medicaid
NJG80709Medicare UPIN