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Individual

DR. LISA RYAN GABOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
185 S ORANGE AVE # MSBE575, NEWARK, NJ 07103-2757
(973) 972-4210
Mailing address
185 S ORANGE AVE # MSBE575, NEWARK, NJ 07103-2757
(973) 972-4270

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
25MA11457100
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0853658
NJ
Enumeration date
04/01/2015
Last updated
12/28/2022
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