Individual
DR. JAMES M. GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000970
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00517271
—
NY
05
—
008777430001
—
PA
01
—
410043462
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039785
MEDICARE GROUP
PA
Enumeration date
03/15/2006
Last updated
07/29/2011
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