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Individual

GAZALA DAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 673-7336
Mailing address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09489600
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/20/2011
Last updated
10/03/2018
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