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Individual

DR. GILBERTO PAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
467 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(973) 483-0448
Mailing address
467 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(973) 483-0448

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SIO 2338
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4014405
NJ
Enumeration date
09/12/2006
Last updated
07/17/2007
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