Individual
DR. GLORIA M CANIZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
225 ROUTE 23 NORTH, HAMBURG, NJ 07419
(973) 209-1550
(973) 209-4832
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09756500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
0
—
Other
Enumeration date
06/12/2013
Last updated
11/03/2016
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