| F Gabriel Limited Liability Co | |
|
63 W Prospect St East Brunswick NJ 08816-5705 | |
| (732) 651-7122 | |
| (732) 651-9797 |
| Full Name | F Gabriel Limited Liability Co |
|---|---|
| Speciality | Internal Medicine |
| Location | 63 W Prospect St, East Brunswick, New Jersey |
| Authorized Official Name and Position | Meriame Anz (MANAGER) |
| Authorized Official Contact | 2017700202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F Gabriel Limited Liability Co Po Box 6566 East Brunswick NJ 08816-6566 Ph: (732) 651-7122 | F Gabriel Limited Liability Co 63 W Prospect St East Brunswick NJ 08816-5705 Ph: (732) 651-7122 |
| NPI Number | 1023206687 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Medicare PECOS PAC ID | 0749294429 |
|---|---|
| Medicare Enrollment ID | O20060201000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023206687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA07646200 (New Jersey) | Primary |
| Provider Name | Ahab M Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285729319 PECOS PAC ID: 2163311705 Enrollment ID: I20040312000313 |
| Provider Name | Lillian Madeline Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154751600 PECOS PAC ID: 6204064017 Enrollment ID: I20140123001938 |
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