Provider Demographics
NPI:1497586903
Name:GABRIEL, HEIDI SHAWKY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:SHAWKY
Last Name:GABRIEL
Suffix:
Gender:X
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 HAYFIELD CT
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2150
Mailing Address - Country:US
Mailing Address - Phone:701-200-2544
Mailing Address - Fax:
Practice Address - Street 1:331 NEWMAN SPRINGS RD STE 320
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5688
Practice Address - Country:US
Practice Address - Phone:701-200-2544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03769800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist