Provider Demographics
NPI:1609684778
Name:TAL, GIL (APN-C)
Entity type:Individual
Prefix:
First Name:GIL
Middle Name:
Last Name:TAL
Suffix:
Gender:M
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LITTLETON RD STE 301
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4841
Mailing Address - Country:US
Mailing Address - Phone:973-755-6636
Mailing Address - Fax:
Practice Address - Street 1:300 LITTLETON RD STE 301
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4841
Practice Address - Country:US
Practice Address - Phone:973-755-6636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15269000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner