Individual
DR. GAMAL M DIAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 BALDWIN RD, SUITE 1, PARSIPPANY, NJ 07054-2986
(973) 541-9101
(973) 541-9103
Mailing address
PO BOX 569, DENVILLE, NJ 07834-0569
(973) 219-2532
(973) 541-9103
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA47466
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424005
—
NJ
01
—
070094
MEDICARE GROUP
NJ
Enumeration date
01/19/2007
Last updated
04/30/2012
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