Organization
BAYONNE ADVANCED MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHAB GABRIEL M.D. (OWNER)
(201) 374-1103
Entity
Organization
Contact information
Practice address
255 BROADWAY, BAYONNE, NJ 07002-7513
(201) 374-1103
(201) 374-1563
Mailing address
255 BROADWAY, BAYONNE, NJ 07002-7513
(201) 374-1103
(201) 374-1563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07646200
NJ
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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