Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 25MA10162700 | NJ |
NPI | 1093976797 |
---|---|
Provider Name | Gabriel Rama |
First Address | Hackensack, NJ 07601-1749 |
Second Address | Hackensack, NJ 07601-1749 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 17/03/2018 |