Provider Demographics
NPI:1497907182
Name:VEREBEY, KARL G (PHD, HCLD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:G
Last Name:VEREBEY
Suffix:
Gender:M
Credentials:PHD, HCLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 S WOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4646
Mailing Address - Country:US
Mailing Address - Phone:908-862-4404
Mailing Address - Fax:908-862-0605
Practice Address - Street 1:1622 S WOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4646
Practice Address - Country:US
Practice Address - Phone:908-862-4404
Practice Address - Fax:908-862-0605
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MS00001600247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician