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NPI Code Detail

MEDICARE: ILAN GABRIELY MD

MEDICARE: ILAN GABRIELY MD
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
1207R00000XInternal Medicine PhysicianMD448066PA
2207R00000XInternal Medicine Physician227980NY
3207RE0101XEndocrinology, Diabetes & Metabolism PhysicianMD448066PA

General Provider Information

NPI Number : 1306927728
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILAN GABRIELY MD
Provider Business Mailing Address
First Line : PO BOX 13579
Second Line :
City : READING
State : PA
Zip : 19612-3579
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1991 STATE HILL RD
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-1648
Country : US
Telephone Number : 484-628-4270
Fax Number : 484-628-4261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 12/05/2022

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