Organization
GABRIELE EYE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP J GABRIELE MD (PRESIDENT)
(574) 252-7757
Entity
Organization
Contact information
Practice address
2042 E IRELAND RD, SOUTH BEND, IN 46614-2909
(574) 291-2020
(574) 299-0942
Mailing address
3730 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3424
(574) 254-0700
(574) 254-2638
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01050631A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200496010C
—
IN
Enumeration date
03/13/2007
Last updated
05/30/2008
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