TRACY ANN GAMBARDELLA PA-C NPI 1760513014

NPI Information

NPI: 1760513014
Provider Name: TRACY ANN GAMBARDELLA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
20 YORK STREET
NEW HAVEN, CT
ZIP 06510
Phone: (203) 688-2320
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Tracy Ann Gambardella, PA-C is a medical physician assistant in New Haven, CT. Tracy Ann Gambardella, PA-C NPI is 1760513014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 YORK STREET
NEW HAVEN, CT
ZIP 06510-202
Phone: (203) 688-2320

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		000783	CONNECTICUT	No
2	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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