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Individual

DR. GAIL GRIFFIN OLABISI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
280 S HARRISON ST, SUITE B-2, EAST ORANGE, NJ 07018-1960
(973) 677-7887
(973) 677-0946
Mailing address
435 PARKSIDE RD, PLAINFIELD, NJ 07060-2847
(908) 229-7507

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA39430
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11433
AETNA
NJ
05
3672204
NJ
Enumeration date
07/28/2006
Last updated
07/08/2007
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