Individual
ELMER SALVADOR GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 815-7810
Mailing address
1 CAPITAL WAY, PATHOLOGY DEPARTMENT, PENNINGTON, NJ 08534-2520
(609) 303-6000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA06897600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8409501
—
NJ
Enumeration date
02/01/2007
Last updated
05/18/2021
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