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Individual

DR. GABRIELA LOPEZ ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1033 TABOR RD, MORRIS PLAINS, NJ 07950-2860
(973) 605-8900
(973) 605-8941
Mailing address
1033 TABOR RD, MORRIS PLAINS, NJ 07950-2860
(973) 605-8900
(973) 605-8941

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05886600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6415202
NJ
01
752622058
TAX IDENTIFICATION
NJ
Enumeration date
06/14/2006
Last updated
07/08/2007
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