Individual
DR. DAVID STUART GOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
169 MAPLEWOOD AVENUE, MAPLEWOOD, NJ 07040
(973) 313-9289
(973) 763-5604
Mailing address
169 MAPLEWOOD AVENUE, MAPLEWOOD, NJ 07040
(973) 313-9289
(973) 763-5604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0130661
NY
103T00000X
Psychologist
Primary
3703
NJ
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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