Organization
GABISA MEDICAL NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELO VENEGAS PIZARRO MD (MEDICAL DIRECTOR)
(347) 524-1914
Entity
Organization
Contact information
Practice address
NEWARK LIBERTY INTERNATIONAL AIRPORT, TERMINAL B - #BTMP23 3 BREWSTER ROAD, NEWARK, NJ 07114
(973) 961-6906
Mailing address
659 GLENWOOD AVE, TEANECK, NJ 07666-6532
(347) 524-1914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
01/24/2021
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