Gabriel, Chantal D

Gabriel, Chantal D is an sole proprietor health care provider with primary practice located at 75 Summit Ave Ste 200 , Hackensack NJ 07601-8504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Gabriel, Chantal D can be contacted via phone (201) 734-5853.

Contact Information

Primary practice address
75 Summit Ave Ste 200 Hackensack NJ 07601-8504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA07511100 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07511100 New Jersey

Profile Details

NPI number 1366584195
LBN Legal business name Gabriel, Chantal D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Apr 6th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366584195 NPPES
New Jersey MEDICAID 0147516

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