Gaviola, Durga C
Gaviola, Durga C is an individual health care provider with primary practice located at 1550 Park Ave , South Plainfield NJ 07080-5565. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gaviola, Durga C can be contacted via phone (908) 757-4222.Contact Information
Primary practice address
1550 Park Ave
South Plainfield NJ 07080-5565
Phone: (908) 757-4222
Fax: (908) 757-1538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 250MA45010 | New Jersey |
Profile Details
| NPI number | 1750341491 |
|---|---|
| LBN Legal business name | Gaviola, Durga C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Dec 14th, 2011 - about 13 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750341491 | NPPES |
| New Jersey | MEDICAID | 1399306 |
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