Individual
DEVDATTA R GABALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 CAPITAL WAY, SUITE 407, PENNINGTON, NJ 08534-2521
(609) 730-1966
(609) 730-1166
Mailing address
2 CAPITAL WAY, SUITE 407, PENNINGTON, NJ 08534-2521
(609) 730-1966
(609) 730-1166
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25MA06313100
NJ
208800000X
Urology Physician
Primary
MD052620L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014814170005
—
PA
01
—
0148141703
AMERICHOICE
PA
01
—
052279
HIGHMARK BLUE SHIELD
PA
01
—
0717811000
INDEPENDENCE BLUE CROSS
PA
01
—
1053544528
MEDICARE GROUP NPI
PA
01
—
1992741946
MEDICARE NPI
PA
01
—
340016351
RAILROAD MEDICARE
PA
01
—
4577320
AETNA PROV ID
PA
Enumeration date
06/20/2006
Last updated
04/29/2014
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