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Individual

SUSAN GAMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
DVAMC PHILADELPHIA, UNIVERSITY AND WOODLAND AVENUES, PHILADELPHIA, PA 19104
(215) 823-5800
Mailing address
27 W 2ND ST, MOORESTOWN, NJ 08057-2427
(856) 235-0921

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC004229L
PA

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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