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Individual

ELIZABETH KABERLE GAMBOGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
33 SOUTH 9TH STREET, SUITE 740, PHILADELPHIA, PA 19107-4409
(215) 955-6680
(215) 503-3333
Mailing address
1 MEDICAL CENTER BLVD, DEPARTMENT OF MEDICINE 3 EAST, CHESTER, PA 19013-3902
(610) 874-6114

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD461216
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT203498
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1032933390002
PA
Enumeration date
05/07/2013
Last updated
02/15/2022
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