Individual
GABRIELLE CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 LAKEHURST RD, TOMS RIVER, NJ 08755-7378
(732) 281-1590
Mailing address
185 LILAC DR, TOMS RIVER, NJ 08753-1314
(732) 779-0966
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MP00555800
NJ
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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