Gambardella, Gabriel Vincent

Gambardella, Gabriel Vincent is an individual health care provider with primary practice located at 1 Northwestern Drive Suite 301, Bloomfield CT 06002-3400. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Gambardella, Gabriel Vincent can be contacted via phone (860) 243-2951.

Contact Information

Primary practice address
1 Northwestern Drive Suite 301 Bloomfield CT 06002-3400
Phone: (860) 243-2951
Fax: (860) 243-5790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0000895 Connecticut
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0000895 Connecticut

Profile Details

NPI number 1447577309
LBN Legal business name Gambardella, Gabriel Vincent
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2010
Last updated Jul 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447577309 NPPES
Connecticut MEDICAID 1447577309

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