Provider Demographics
NPI:1558479451
Name:BIRMINGHAM, GEORGE D (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:D
Last Name:BIRMINGHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 ROUTE 37 W
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8062
Mailing Address - Country:US
Mailing Address - Phone:732-240-3700
Mailing Address - Fax:732-240-1385
Practice Address - Street 1:147 ROUTE 37 W
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8062
Practice Address - Country:US
Practice Address - Phone:732-240-3700
Practice Address - Fax:732-240-1385
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA56493207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0504966000OtherAMERIHEALTH
NJ1039654OtherHORIZON NJ HEALTH
NJ0981862-004OtherCIGNA
NJ1394046OtherUNITED HEALTHCARE
NJ1K5291OtherHEALTHNET
NJP472548OtherOXFORD
NJ15428OtherUNIVERSITY HEALTH PLAN
NJ2198972OtherGHI
NJ5157404Medicaid
NJ2311396OtherAETNA
NJ1K5291OtherHEALTHNET
NJ0504966000OtherAMERIHEALTH