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Dr. Gabriel Botelho Bastos Zaverucha, MD
Student in an Organized Health Care Education/Training Program in Elizabeth, New Jersey
NPI 1669257697

Gabriel Botelho Bastos Zaverucha is a Student in an Organized Health Care Education/Training Program based in Elizabeth, NJ. Gabriel Botelho Bastos Zaverucha practices in Elizabeth, NJ and has the professional credentials of MD. The NPI Number for Gabriel Botelho Bastos Zaverucha is 1669257697 and holds a License No. (New Jersey).

The current practice location address for Gabriel Botelho Bastos Zaverucha is 321 S Broad St Unit 420, Elizabeth, NJ and can be reached out via phone at 224-391-3568.

Location: 321 S Broad St Unit 420, Elizabeth, NJ, 07202-3786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669257697
Provider Name
Gabriel Botelho Bastos Zaverucha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
321 S Broad St Unit 420, Elizabeth, NJ, 07202-3786
Phone Number
224-391-3568
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
321 S Broad St Unit 420
City
Elizabeth
State
New Jersey
Zip
07202-3786
Phone Number
224-391-3568
Fax Number
person
Provider Business Mailing Address Details
Address
321 S Broad St Unit 420
City
Elizabeth
State
New Jersey
Zip
07202-3786
Phone Number
224-391-3568
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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