person
Mr. Jefferson G A Gaballa, MD
General Practice Physician in New York, New York
NPI 1609065580

Jefferson G A Gaballa is a General Practice Physician based in Jersey City, NY. Jefferson G A Gaballa practices in New York, NY and has the professional credentials of MD. The NPI Number for Jefferson G A Gaballa is 1609065580 and holds a License No. 203423 (New York).

The current practice location address for Jefferson G A Gaballa is 166 Madison Ave, New York, NY and can be reached out via phone at 212-687-5560 and via fax at 212-687-5530.

Location: 166 Madison Ave, New York, NY, 07305
person
Provider Profile Details
NPI Number
1609065580
Provider Name
Jefferson G A Gaballa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
166 Madison Ave, New York, NY, 07305
Phone Number
212-687-5560
Fax Number
212-687-5530
Provider Enumeration Date
10/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
166 Madison Ave
City
State
Zip
10016
Phone Number
212-687-5560
Fax Number
212-687-5530
person
Provider Business Mailing Address Details
Address
166 Madison Ave
City
State
Zip
10016
Phone Number
212-687-5560
Fax Number
212-687-5530
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
203423 (New York)
Definition
Definition to come...
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