Individual
DR. CHANTAL D GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 SUMMIT AVE STE 200, HACKENSACK, NJ 07601-8504
(201) 734-5853
Mailing address
226 STATE ST # 1018, HACKENSACK, NJ 07601-5502
(201) 734-5853
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA07511100
NJ
208D00000X
General Practice Physician
Primary
25MA07511100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147516
—
NJ
Enumeration date
02/12/2007
Last updated
04/06/2024
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