| Gaviota Clinic | |
|
919 Franklin Ave Newark NJ 07107-4801 | |
| (973) 368-4130 | |
| Not Available |
| Full Name | Gaviota Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 919 Franklin Ave, Newark, New Jersey |
| Authorized Official Name and Position | Garis L Silega (PRESIDENT) |
| Authorized Official Contact | 9733684130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaviota Clinic 559 Broadway Apt 12 Newark NJ 07104-4151 Ph: (973) 368-4130 | Gaviota Clinic 919 Franklin Ave Newark NJ 07107-4801 Ph: (973) 368-4130 |
| NPI Number | 1710177068 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710177068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New Jersey) | Primary |
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