Individual
JOHN PETER GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1117
Mailing address
4692 BROWNSBORO ROAD, WINSTON - SALEM, NC 27106
(336) 251-1114
(336) 251-1115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200400209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137N3
BCBS
NC
05
—
89137N3
—
NC
01
—
G10659
UHC
NC
Enumeration date
03/01/2006
Last updated
08/18/2011
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