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Individual

EMAD MALAK GABRIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
654 AVENUE C STE 201, BAYONNE, NJ 07002-3899
(201) 535-8978
Mailing address
654 AVENUE C STE 201, BAYONNE, NJ 07002-3899
(201) 535-8978

Taxonomy

Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
213ES0131X
Foot Surgery Podiatrist
Primary
N006569
NY

Other

Enumeration date
01/26/2011
Last updated
10/01/2013
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