Healthcare Provider Details

I. General information

NPI: 1568584829
Provider Name (Legal Business Name): ROSALINDA VILLARAMA GABRIEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 DURHAM RD
PENNDEL PA
19047-5707
US

IV. Provider business mailing address

4228 S BROAD ST
YARDVILLE NJ
08620-2105
US

V. Phone/Fax

Practice location:
  • Phone: 215-752-1541
  • Fax: 215-752-2848
Mailing address:
  • Phone: 609-585-2421
  • Fax: 609-585-8888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberPA031588-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: