Individual
DR. PAUL T GAMBARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
329 MAIN ST, UNIT 110, YALESVILLE, CT 06492-2279
(203) 265-6677
(203) 294-9784
Mailing address
329 MAIN ST, UNIT 110, YALESVILLE, CT 06492-2279
(203) 265-6677
(203) 294-9784
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000547
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004114500
—
CT
01
—
030000547CT02
BCBS
—
Enumeration date
08/14/2006
Last updated
06/11/2008
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