Gamboa, Elmer Salvador

Gamboa, Elmer Salvador is an sole proprietor health care provider with primary practice located at 1 Capital Way , Pennington NJ 08534-2520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gamboa, Elmer Salvador can be contacted via phone (609) 815-7810.

Contact Information

Primary practice address
1 Capital Way Pennington NJ 08534-2520
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA06897600 New Jersey

Profile Details

NPI number 1205973666
LBN Legal business name Gamboa, Elmer Salvador
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated May 18th, 2021 - about 3 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 1205973666 NPPES
New Jersey MEDICAID 8409501

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