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Individual

DR. BENJAMIN GIBLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 W 57TH ST, UNIT 8D, NEW YORK, NY 10019
(201) 310-8343
Mailing address
695 BUTTERNUT DR, FRANKLIN LAKES, NJ 07417-2244
(201) 891-5160

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
150946-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1164847141
NPI
01
150946-1
REGISTRATION CERTIFICATE, NYSED DIVISION OF PROFESSIONAL SERVICES - PHYSICIAN
NY
01
9374509UPD
CERTIFICATE NUMBER:
NY
Enumeration date
02/27/2014
Last updated
09/02/2016
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