Organization · Type 2 NPI

Gaviota Corporation

Clinic/Center · Newark, NJ

NPI number 1710177068 Active

Practice location

919 Franklin Ave
Newark, NJ 07107-4801

Mailing address

559 Broadway Apt 12
Newark, NJ 07104-4151

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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., radiology, poor, and public health).

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About NPI 1710177068

Gaviota Corporation's National Provider Identifier is 1710177068, issued on Aug 1, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Newark, NJ. The record was last updated on Aug 1, 2007.