Provider Demographics
NPI:1477533750
Name:SOBEL, GAIL M (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:M
Last Name:SOBEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:577 CHESTNUT RIDGE RD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8409
Mailing Address - Country:US
Mailing Address - Phone:201-391-5770
Mailing Address - Fax:201-391-4793
Practice Address - Street 1:577 CHESTNUT RIDGE RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8409
Practice Address - Country:US
Practice Address - Phone:201-391-5770
Practice Address - Fax:201-391-4793
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05644200207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG58839Medicare UPIN
NJ001359BTWMedicare ID - Type UnspecifiedMEDICARE