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NPI Code Detail

MEDICARE: ESMAT M. GABRIEL ED.D.

MEDICARE: ESMAT M. GABRIEL ED.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
1101YP2500XProfessional CounselorPC000098PA

General Provider Information

NPI Number : 1629069943
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMAT M. GABRIEL ED.D.
Provider Business Mailing Address
First Line : 209 BEDFORD LN
Second Line :
City : LANSDALE
State : PA
Zip : 19446-6339
Country : US
Telephone Number : 215-362-5678
Fax Number : 215-362-7281
Provider Business Practice Location Address
First Line : 521 MOREDON RD
Second Line :
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-7705
Country : US
Telephone Number : 215-914-4195
Fax Number : 215-914-4179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 07/08/2007

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