Search › Massachusetts › 101YM0800X
Brian Gamboa
NPI 1942510052 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3 Ashlawn Rd
Assonet, MA 02702 - Phone
- (508) 933-5205
- Fax
- (877) 308-2202
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-03
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts