MEDICARE: DR. GABRIEL HUNT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A86002	CA
2	174400000X	Specialist	25MA11493100	NJ

General Provider Information

NPI Number	:	1245214238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIEL HUNT M.D.

Provider Business Mailing Address
First Line	:	695 BLOOMFIELD AVE FL 2
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2214
Country	:	US
Telephone Number	:	972-828-7800
Fax Number	:	973-354-5901

Provider Business Practice Location Address
First Line	:	695 BLOOMFIELD AVE FL 2
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2214
Country	:	US
Telephone Number	:	973-828-7800
Fax Number	:	973-354-5901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	10/30/2025

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