NPI 1588248629

Gabriel Milgrom

Practitioner Dentist Maplewood, NJ

Practice location

Address: 730 Prospect St, Maplewood, NJ 07040-3142
Phone: (800) 842-4663
Mailing address: 1 Brookdale Plz, Brooklyn, NY 11212-3139

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 22DI02890200 (NJ)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1588248629
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2021
Record last updated: 21 Jul 2022

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.