Individual
TRACY ANN GAMBARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK STREET, NEW HAVEN, CT 06510-3202
(203) 688-2320
Mailing address
5 JOSEPH WAY, BRANFORD, CT 06405-3969
(203) 483-9492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000783
CT
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
03/04/2014
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