Provider Demographics
NPI:1043074461
Name:MURTHA, GABRIEL T (DC)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:T
Last Name:MURTHA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 FRESH PONDS RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2462
Mailing Address - Country:US
Mailing Address - Phone:732-570-2146
Mailing Address - Fax:
Practice Address - Street 1:837 UPPER MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879-1462
Practice Address - Country:US
Practice Address - Phone:732-316-4004
Practice Address - Fax:732-316-4005
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00803100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor