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Individual

DEAN GABRIEL IMBEMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
210 W SAINT GEORGES AVE FL 2, LINDEN, NJ 07036-3900
(908) 486-1111
Mailing address
210 W SAINT GEORGES AVE FL 2, LINDEN, NJ 07036-3900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00636900
NJ
363A00000X
Physician Assistant

Other

Enumeration date
07/23/2021
Last updated
08/09/2021
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