Individual provider · Type 1 NPI
Tracy Ann Gambardella, PA-C
Medical Physician Assistant · New Haven, CT
NPI number
1760513014
Active
Practice location
20 York Street
New Haven, CT 06510-3202
Mailing address
5 Joseph Way
Branford, CT 06405-3969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 000783 (CT) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1760513014
Tracy Ann Gambardella, PA-C's National Provider Identifier is 1760513014, issued on Mar 8, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Mar 4, 2014.