Individual
DR. PETER J GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 231-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
069407
GA
207L00000X
Anesthesiology Physician
OSO15877
PA
207L00000X
Anesthesiology Physician
OTO12955
PA
Other
Enumeration date
06/19/2009
Last updated
08/20/2019
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