Individual
DR. KRISTIAN-ANDREW GABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20 COOK PLZ, MADISON, NJ 07940-1951
(973) 295-6460
Mailing address
158 GATES AVE, JERSEY CITY, NJ 07305-2409
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
40QA01850700
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01850700
NJ
Other
Enumeration date
09/09/2019
Last updated
10/14/2019
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