Individual
MR. JUSTIN MICHAEL GAMBINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
2500 BLUE RIDGE RD STE 417, RALEIGH, NC 27607-7516
(919) 787-9097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04170
NC
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/29/2010
Last updated
04/23/2019
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