| Gabisa Medical Nj Llc | |
|
Newark Liberty International Airport Terminal B - #btmp23 3 Brewster Road Newark NJ 07114 | |
| (973) 961-6906 | |
| Not Available |
| Full Name | Gabisa Medical Nj Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Newark Liberty International Airport, Newark, New Jersey |
| Authorized Official Name and Position | Marcelo Venegas Pizarro (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3475241914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabisa Medical Nj Llc 659 Glenwood Ave Teaneck NJ 07666-6532 Ph: (347) 524-1914 | Gabisa Medical Nj Llc Newark Liberty International Airport Terminal B - #btmp23 3 Brewster Road Newark NJ 07114 Ph: (973) 961-6906 |
| NPI Number | 1124632740 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 01/24/2021 |
| Medicare PECOS PAC ID | 4284041492 |
|---|---|
| Medicare Enrollment ID | O20210405001633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124632740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcelo Venegas Pizarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245431204 PECOS PAC ID: 5890687354 Enrollment ID: I20190829004223 |
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