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Individual

DR. JAMES M. GABRIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

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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