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Individual
DR. PAUL T GAMBARDELLA
Active
Individual
DR. PAUL T GAMBARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000547
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004114500
—
CT
01
—
030000547CT02
BCBS
—
Enumeration date
08/14/2006
Last updated
06/11/2008
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