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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAVIER GAMBOA

Active Sole Proprietor

JAVIER GAMBOA is a Van Provider healthcare provider located in SPENCER, Massachusetts. NPI 1457194110 is currently active in the NPPES registry. Verify at CMS.

Van Provider · SPENCER, MA

Registration Details

NPI Number
1457194110
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2024 (2.1528005483691 yrs)
Last Updated
Jun 18, 2024
Sole Proprietor
Yes

Practice Information

Address
3 MAIN ST APT 1
SPENCER, MA, 015622411
Browse MA providers · Browse ZIP 01562
Phone
5085796857
Primary Specialty
Van Provider
344600000X
Additional Specialty
Van Provider
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.