Provider Demographics
NPI:1760782601
Name:GABRIEL, JESSE VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSE
Middle Name:VINCENT
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8150 PERRY HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5200
Mailing Address - Country:US
Mailing Address - Phone:412-369-9550
Mailing Address - Fax:412-369-9566
Practice Address - Street 1:8150 PERRY HWY STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5232
Practice Address - Country:US
Practice Address - Phone:412-364-2664
Practice Address - Fax:412-364-8037
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD478708207Q00000X
NMMD2015-0289207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine