Provider Demographics
NPI:1568584829
Name:GABRIEL, ROSALINDA VILLARAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSALINDA
Middle Name:VILLARAMA
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:YARDVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08620-2105
Mailing Address - Country:US
Mailing Address - Phone:609-585-2421
Mailing Address - Fax:609-585-8888
Practice Address - Street 1:1517 DURHAM RD
Practice Address - Street 2:
Practice Address - City:PENNDEL
Practice Address - State:PA
Practice Address - Zip Code:19047-5707
Practice Address - Country:US
Practice Address - Phone:215-752-1541
Practice Address - Fax:215-752-2848
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA031588-L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100001996008Medicaid
PA100001996008Medicaid
NJE91201Medicare UPIN
NJGA540999Medicare ID - Type Unspecified