Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 25MA07670600 | NJ |
NPI | 1114972049 |
---|---|
Provider Name | Dr. Gabrielle Pinzon |
First Address | Colts Neck, NJ 07722-2415 |
Second Address | Colts Neck, NJ 07722-2415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 10/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L58053 | (02) |