Provider Demographics
NPI:1538575758
Name:STEINBERG, GARY ARTHUR (OD)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:ARTHUR
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 PLAINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3868
Mailing Address - Country:US
Mailing Address - Phone:732-985-5009
Mailing Address - Fax:732-985-5155
Practice Address - Street 1:228 PLAINFIELD AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3868
Practice Address - Country:US
Practice Address - Phone:732-985-5009
Practice Address - Fax:732-985-5155
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008202-1152W00000X
NJ27OA00656200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist