Healthcare Provider Details

I. General information

NPI: 1255396545
Provider Name (Legal Business Name): CYNTHIA ANN GABRIELLI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 SKYLINE DR SUITE #4
WILMINGTON DE
19808-1772
US

IV. Provider business mailing address

5500 SKYLINE DR SUITE #4
WILMINGTON DE
19808-1772
US

V. Phone/Fax

Practice location:
  • Phone: 302-239-7755
  • Fax: 302-234-2735
Mailing address:
  • Phone: 302-239-7755
  • Fax: 302-234-2735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberC20001961
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: