Individual
ALAN GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CARLISLE DR, JACKSON, NJ 08527-6304
(732) 742-6164
Mailing address
25 CARLISLE DR, JACKSON, NJ 08527-6304
(732) 742-6164
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
13VH10769700
NJ
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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