Individual
MATTHEW LEONARD GOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 TER HEUN DRIVE, FALMOUTH, MA 02540
(413) 539-8800
Mailing address
114 W PELHAM RD, SHUTESBURY, MA 01072-9784
(413) 539-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
04/02/2019
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