Organization
BENJAMIN T. GAMBOA,M.D. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN T GAMBOA M.D. (PHYSICIAN)
(808) 873-0299
Entity
Organization
Contact information
Practice address
135 S WAKEA AVE, STE 107, KAHULUI, HI 96732-1385
(808) 873-0299
(808) 873-0290
Mailing address
135 S WAKEA AVE, STE 107, KAHULUI, HI 96732-1385
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD 8771
HI
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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