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Individual

DR. GABRIEL VINCENT GAMBARDELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1 NORTHWESTERN DRIVE, SUITE 301, BLOOMFIELD, CT 06002-3400
(860) 243-2951
(860) 243-5790
Mailing address
1 NORTHWESTERN DRIVE, SUITE 301, BLOOMFIELD, CT 06002-3400
(860) 243-2951
(860) 243-5790

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0000895
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0000895
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447577309
CT
Enumeration date
04/30/2010
Last updated
07/29/2014
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