Individual provider · NPI-1
Gabrielle A Beach, PA-C
Physician Assistant · Marlton, NJ
NPI number1881300168
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1881300168
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle A Beach
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2023
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00759600 | NJ | Yes |
Practice location
10000 Sagemore Dr Ste 10101Marlton, NJ 08053-3944
Phone 856-596-0111
Mailing address
10000 Sagemore Dr Ste 10101Marlton, NJ 08053-3944
Phone 856-596-0111
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.