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1609065580
JEFFERSON G A GABALLA
NEW YORK, NY
NPI
1609065580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NY 203423)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
Mr. JEFFERSON G A GABALLA MD
166 MADISON AVE 3RD FLOOR
NEW YORK, NY 10016
Phone number: 212-687-5560
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Mailing Address
Mr. JEFFERSON G A GABALLA MD
PO BOX 15315
JERSEY CITY, NJ 07305
Phone number: 201-432-2865
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