Individual
MARIA GABRIELLA KOLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
635 MARKET ST, NEWARK, NJ 07105-3618
(973) 344-5454
(973) 344-5488
Mailing address
520 N WOOD AVE, LINDEN, NJ 07036-4147
(908) 587-9300
(908) 587-1901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06992800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8093300
—
NJ
Enumeration date
04/21/2006
Last updated
09/11/2019
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