Provider Demographics
NPI:1891954848
Name:GERTZ, BARRY JOEL (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:JOEL
Last Name:GERTZ
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 1:126 E LINCOLN AVE
Mailing Address - Street 2:BOX 2000 RY 34A560
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-0900
Mailing Address - Country:US
Mailing Address - Phone:732-594-5410
Mailing Address - Fax:732-594-7310
Practice Address - Street 1:126 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-0900
Practice Address - Country:US
Practice Address - Phone:732-594-5410
Practice Address - Fax:732-594-7310
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05111400207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism