Provider Demographics
NPI:1144268426
Name:GABROS, DAVID E (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:GABROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 34TH ST S
Mailing Address - Street 2:
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-1621
Mailing Address - Country:US
Mailing Address - Phone:609-264-7252
Mailing Address - Fax:609-264-8657
Practice Address - Street 1:217 34TH ST S
Practice Address - Street 2:
Practice Address - City:BRIGANTINE
Practice Address - State:NJ
Practice Address - Zip Code:08203-1621
Practice Address - Country:US
Practice Address - Phone:609-264-7252
Practice Address - Fax:609-264-8657
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA061502207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7181302Medicaid
NJ7181302Medicaid
NJ849934Medicare PIN