Gabriela Lopez Allen, M.D.

Individual provider Active NPI Specialist · Morris Plains, NJ

NPI 1346283256 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1346283256
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
25MA05886600 (NJ)
Practice address
1033 Tabor Rd
Morris Plains, NJ 07950-2860
Phone
(973) 605-8900
Fax
(973) 605-8941
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05886600NJMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA05886600 NJ Yes

Addresses

Primary practice location

1033 Tabor Rd
Morris Plains, NJ 07950-2860

Mailing address

1033 Tabor Rd
Morris Plains, NJ 07950-2860
Phone (973) 605-8900

Other identifiers

IdentifierTypeStateIssuer
6415202MedicaidNJ
752622058OtherNJTAX IDENTIFICATION

Other providers in Morris Plains, NJ

All providers in Morris Plains, NJ · Specialist in New Jersey

Sources for this page

Verify at the official NPI Registry.