Individual
RON GAMBARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
35 E BLANCKE ST, LINDEN, NJ 07036-3180
(908) 862-4404
(908) 583-9997
Mailing address
PO BOX 860, REMSENBURG, NY 11960-0860
(516) 380-1457
(908) 583-9997
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
GAMBR1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GAMBR1
NYS C OF Q
NY
Enumeration date
11/01/2017
Last updated
06/16/2018
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