Individual
DR. EDWARD MARTIN GABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
231 SAINT ANN DR, STE 2, MANDEVILLE, LA 70471-3219
(985) 624-5410
(985) 624-5490
Mailing address
231 SAINT ANN DR, STE 2, MANDEVILLE, LA 70471-3219
(985) 624-5410
(985) 624-5490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
011060
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119156
—
LA
01
—
4013190
AETNA PROV #
LA
Enumeration date
06/01/2005
Last updated
02/06/2014
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