Provider Demographics
NPI:1073556213
Name:MUNNE, GISELA LIDIA (MD)
Entity Type:Individual
Prefix:DR
First Name:GISELA
Middle Name:LIDIA
Last Name:MUNNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LA SALLE COURT
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068
Mailing Address - Country:US
Mailing Address - Phone:973-228-4322
Mailing Address - Fax:
Practice Address - Street 1:600 PAVONIA AVE
Practice Address - Street 2:SUITE D - 2ND FLOOR
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2929
Practice Address - Country:US
Practice Address - Phone:201-216-3040
Practice Address - Fax:201-749-9024
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05652900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine