Provider Demographics
NPI:1922029115
Name:DR.GARY B BUDMAN AND ASSOCIATES
Entity Type:Organization
Organization Name:DR.GARY B BUDMAN AND ASSOCIATES
Other - Org Name:ARTHUR E ZACK DDS PA
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:BUDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-423-0056
Mailing Address - Street 1:26 WEST BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:PAULSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08066-1216
Mailing Address - Country:US
Mailing Address - Phone:856-423-0056
Mailing Address - Fax:856-423-8190
Practice Address - Street 1:737 BILLINGS AVE
Practice Address - Street 2:
Practice Address - City:PAULSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08066-1216
Practice Address - Country:US
Practice Address - Phone:856-423-0056
Practice Address - Fax:856-423-8190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01403600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty