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Individual

GILLIAN IRENE ALLATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
61 MARBLE HILL AVE, BRONX, NY 10463-6734
(505) 231-1185
Mailing address
61 MARBLE HILL AVE, BRONX, NY 10463-6734
(505) 231-1185

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25MW00001600
NJ

Other

Enumeration date
02/06/2014
Last updated
02/06/2014
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