Provider Demographics
NPI:1841575495
Name:UEBELHART, NASH RAY
Entity Type:Individual
Prefix:DR
First Name:NASH
Middle Name:RAY
Last Name:UEBELHART
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 US HIGHWAY 1
Mailing Address - Street 2:SUITE #500
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3311
Mailing Address - Country:US
Mailing Address - Phone:767-255-6377
Mailing Address - Fax:
Practice Address - Street 1:630 ROSS BLVD
Practice Address - Street 2:
Practice Address - City:PICARD
Practice Address - State:FOREIGN PROVINCE
Practice Address - Zip Code:NA
Practice Address - Country:DM
Practice Address - Phone:767-255-6377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301039835207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology