Organization
GAVIOTA CORPORATION
Active
Other names
gaviota clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARIS L SILEGA (PRESIDENT)
(973) 368-4130
Entity
Organization
Contact information
Practice address
919 FRANKLIN AVE, NEWARK, NJ 07107-4801
(973) 368-4130
Mailing address
559 BROADWAY APT 12, NEWARK, NJ 07104-4151
(973) 368-4130
(973) 732-0023
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NJ
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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