Individual
DR. GABRIELE PHILLIP JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74 BRICK BLVD, BLDG 3, BRICK, NJ 08723-7984
(732) 262-0700
Mailing address
74 BRICK BLVD, BLDG 3, BRICK, NJ 08723-7984
(732) 262-0700
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA06352100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053500041
GRP NPI BRICK
NJ
01
—
1353735811
GRP NPI MILLTOWN
NJ
01
—
P00171876
RR MEDICARE PIN
NJ
Enumeration date
11/13/2006
Last updated
06/11/2013
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