Active NPIIndividual providerSole proprietor

Dr. Jason A Gambale, DC

Chiropractor in Revere, Massachusetts

NPI Number1104125285
Practice location
454 Broadway, Revere, MA 02151-3034
Fax
781-823-6550
Last updated
March 15, 2011

Jason Anthony Gambale is a Chiropractor based in Revere, MA. Jason Anthony Gambale practices in Revere, MA and has the professional credentials of DC. The NPI Number for Jason Anthony Gambale is 1104125285 and holds a License No. 3321 (MA). The current practice location address for Jason Anthony Gambale is 454 Broadway, Revere, MA 02151-3034 and can be reached out via phone at 781-284-1661 and via fax at 781-823-6550.

Provider Profile Details

NPI Number
1104125285
Provider Name
Jason Anthony Gambale
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
454 Broadway, Revere, MA 02151-3034
Phone Number
781-284-1661
Fax Number
781-823-6550
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2011
Last Update Date
March 15, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Broadway
Revere, MA 02151-3034
City
Revere
Zip
02151-3034
Phone Number
781-284-1661
Fax Number
781-823-6550
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
454 Broadway
Revere, MA 02151-3034
City
Revere
State
MA
Zip
02151-3034
Phone Number
781-284-1661
Fax Number
781-823-6550

License Information

License Number
3321
License State
MA
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jason A Gambale, DC?

The NPI number of Dr. Jason A Gambale, DC is 1104125285. It was assigned on March 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason A Gambale, DC?

Dr. Jason A Gambale, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 3321.

Where does Dr. Jason A Gambale, DC practice?

The practice location is 454 Broadway, Revere, MA 02151-3034. The office can be reached at 781-284-1661 (phone) or 781-823-6550 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104125285 directly on the NPPES registry website.

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