Individual
BRANDON GAVIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 COOPER PLZ RM 314, CAMDEN, NJ 08103-1438
(856) 963-6770
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15352600
NJ
363LF0000X
Family Nurse Practitioner
26NJ15352600
NJ
Other
Enumeration date
10/06/2025
Last updated
11/24/2025
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