| NPI | 1699066225 |
|---|---|
| Doing Business As | GAVIOTA CLINIC |
| Entity Type | Organization |
| Authorized Contact | GARIS L SILEGA President 973-388-3258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 302F00000X Exclusive Provider Organization | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-04-30 |