# DG HERITAGE MEDICAL SERVICES ,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023736253
- **Authorized official:** DAVID GAMBURG MD (PRESIDENT)
- **Authorized official phone:** (917) 226-1776

## Contact information

- **Practice address:** 1111 KANE CONCOURSE STE 601, BAY HARBOR ISLANDS, FL 33154-2044
- **Practice address phone:** (917) 226-1776
- **Mailing address:** 110 CHESTNUT RIDGE RD \# 335, MONTVALE, NJ 07645-1706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2022
- **Last updated:** 01/23/2023
