Organization Name: | GABRIEL SELLA INC |
NPI Number: | 1104036623 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GABRIEL E. SELLA (OWNER) |
Mailing Address: | 92 N 4th St Ste 12 Martins Ferry |
State: | OH US |
Postal Code: | 439351600 |
Phone Number: | 7406334485 |
Fax Number: | 7406334141 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | 51365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |