Gamble, Robert

Gamble, Robert is an individual health care provider with primary practice located at 780 Albany St , Boston MA 02118-2524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Gamble, Robert can be contacted via phone (857) 654-1000.

Contact Information

Primary practice address
780 Albany St Boston MA 02118-2524
Phone: (857) 654-1000
Fax: (857) 654-1100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 228788 Massachusetts

Profile Details

NPI number 1366597593
LBN Legal business name Gamble, Robert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jan 8th, 2015 - about 11 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 1366597593 NPPES
Massachusetts MEDICAID 0702935

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