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Individual

THOMAS J. GAMPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22908-3363
(434) 924-5078
(434) 924-8118
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0101047170
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101047170
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006900127
VA
Enumeration date
11/07/2006
Last updated
08/09/2023
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