Gaviota Corporation in Newark - Clinic/center

Gaviota Corporation - NPI 1710177068

Gaviota Corporation is a Clinic/center in Newark, New Jersey. Gaviota Corporation practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Gaviota Corporation is 1710177068. The last update date is 2007-08-01.

Gaviota Corporation's current location address is 559 Broadway Apt 12, Newark, New Jersey. You can contact this provider via phone number 9733684130 and fax number 9737320023. The mailing address for Gaviota Corporation is 559 Broadway Apt 12, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gaviota Corporation
Address 559 Broadway Apt 12, Newark, New Jersey
Phone Number 9733684130
Fax Number 9737320023
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Silega L Garis
Telephone Number 9733684130

NPI Number Detail

NPI Number 1710177068
Provider Enumeration Date 2007-08-01
Last Updated Date 2007-08-01

Provider Mailing Address Detail

Address 559 Broadway Apt 12
City Newark
State New Jersey (NJ)
Post Code 71044151
Phone Number 9733684130
Fax Number 9737320023

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

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FAQs about Gaviota Corporation

What is the Gaviota Corporation's unique identification number?

The Gaviota Corporation has been assigned the NPI (National Provider Identifier) Number 1710177068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Gaviota Corporation?

The Gaviota Corporation is physically situated at 559 Broadway Apt 12, in the city of Newark, state of NJ, with the postal code 71044151.

What is Gaviota Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gaviota Corporation is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710177068 to Gaviota Corporation?

The Centers for Medicare & Medicaid Services originally issued the 1710177068 to Gaviota Corporation on 2007-08-01.

As of what date was the information regarding Gaviota Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gaviota Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-01.

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