NPI 1114021607

Gilberto Pagan, PHD

Practitioner Psychologist Newark, NJ

Practice location

Address: 467 Mount Prospect Ave, Newark, NJ 07104-2907
Phone: (973) 483-0448

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence SIO 2338 (NJ)

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Registry record

NPI: 1114021607
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2006
Record last updated: 17 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.