Individual
ALBERT GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3464
Mailing address
12D WELTON WAY, THOMASTON, CT 06787
(860) 283-1870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000790
CT
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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