Individual
MISS GABRIELLE M. STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1255 S CEDAR CREST BLVD, SUITE 2200, ALLENTOWN, PA 18103-6256
(610) 437-9006
(610) 437-1942
Mailing address
1255 S CEDAR CREST BLVD, SUITE 2200, ALLENTOWN, PA 18103-6256
(610) 437-9006
(610) 437-1942
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054708
PA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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