Provider Demographics
NPI:1164309860
Name:DIGIROLAMO, GABRIELLA (LAC)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:DIGIROLAMO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 S WHITE HORSE PIKE # B
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2014
Mailing Address - Country:US
Mailing Address - Phone:609-200-0353
Mailing Address - Fax:
Practice Address - Street 1:630 S WHITE HORSE PIKE # B
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2014
Practice Address - Country:US
Practice Address - Phone:609-200-0353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00177900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist