Mirza C Gamboa
Physical Therapist in Somerville, New Jersey
1659017598- Practice location
- 110 Rehill Ave, Somerville, NJ 08876-2519
- Phone
- 908-595-2388
- Fax
- —
- Last updated
- May 11, 2022
Mirza Concepcion Gamboa is a Physical Therapist based in Somerville, NJ. Mirza Concepcion Gamboa practices in Somerville, NJ. The NPI Number for Mirza Concepcion Gamboa is 1659017598 and holds a License No. 40QA00644000 (NJ). The current practice location address for Mirza Concepcion Gamboa is 110 Rehill Ave, Somerville, NJ 08876-2519 and can be reached out via phone at 908-595-2388.
Provider Profile Details
- NPI Number
- 1659017598
- Provider Name
- Mirza Concepcion Gamboa
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 110 Rehill Ave, Somerville, NJ 08876-2519
- Phone Number
- 908-595-2388
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2022
- Last Update Date
- May 11, 2022
- Certification Date
- May 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Rehill Ave
Somerville, NJ 08876-2519 - City
- Somerville
- State
- New Jersey
- Zip
- 08876-2519
- Phone Number
- 908-595-2388
Provider Business Mailing Address Details
- Address
- 30 Richmar CT
Freehold, NJ 07728-9376 - City
- Freehold
- State
- NJ
- Zip
- 07728-9376
- Phone Number
- 732-489-6604
License Information
- License Number
- 40QA00644000
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mirza C Gamboa?
The NPI number of Mirza C Gamboa is 1659017598. It was assigned on May 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Mirza C Gamboa?
Mirza C Gamboa is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00644000.
Where does Mirza C Gamboa practice?
The practice location is 110 Rehill Ave, Somerville, NJ 08876-2519. The office can be reached at 908-595-2388 (phone).
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 1659017598 directly on the NPPES registry website.