| Doctor Name: | DR. GABRIEL EIDELMAN |
| NPI Number: | 1013157312 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 04504 |
| Business Practice Address: | 15 W Montgomery Ave Suite 201 Rockville, MD - 208504217 |
| Business Phone Number: | 2023516808 |
| Business Fax Number: | |
| Mailing Address: | 220 Pender Pl, ROCKVILLE |
| State: | MD |
| Postal Code: | 208502909 |
| Phone Number: | 3016136679 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2009 |
| NPI Last Update Date: | 02/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 04504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |