Provider Demographics
NPI:1851655476
Name:ALMAZAN, GERALD C (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:C
Last Name:ALMAZAN
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 1:1945 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4859
Mailing Address - Country:US
Mailing Address - Phone:732-776-4267
Mailing Address - Fax:
Practice Address - Street 1:2211 ROUTE 88 E
Practice Address - Street 2:SUITE 2A
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3271
Practice Address - Country:US
Practice Address - Phone:732-899-0008
Practice Address - Fax:732-899-0447
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09110600208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics