Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | C20001961 | DE |
NPI | 1255396545 |
---|---|
Provider Name | Dr. Cynthia Ann Gabrielli |
First Address | Wilmington, DE 19808-1772 |
Second Address | Wilmington, DE 19808-1772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000062603 | (05) | DE |
B66448 | (02) | DE |