Organization
GAMBARU CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES IVETTE KERSHAW OTR (PRESIDENT)
(781) 558-9565
Entity
Organization
Contact information
Practice address
999 BROADWAY, SUITE 100, SAUGUS, MA 01906-4521
(781) 558-9565
(781) 558-9567
Mailing address
999 BROADWAY, SUITE 100, SAUGUS, MA 01906-4521
(781) 558-9565
(781) 558-9567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324621
—
MA
Enumeration date
04/07/2011
Last updated
04/07/2011
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