Individual
GABRIELLA HOPE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
168 HAWKIN RD, NEW EGYPT, NJ 08533-2802
(609) 752-4346
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MP00816000
NJ
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
25MP00816000
NJ
Other
Enumeration date
12/01/2023
Last updated
07/25/2024
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