Organization
DG HERITAGE MEDICAL SERVICES ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GAMBURG MD (PRESIDENT)
(917) 226-1776
Entity
Organization
Contact information
Practice address
1111 KANE CONCOURSE STE 601, BAY HARBOR ISLANDS, FL 33154-2044
(917) 226-1776
Mailing address
110 CHESTNUT RIDGE RD # 335, MONTVALE, NJ 07645-1706
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
01/23/2023
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