Jova Gamboa, MED
Specialist in Dorchester, Massachusetts
1750529624- Practice location
- 105 Victory RD, Dorchester, MA 02122-3518
- Phone
- 617-371-3010
- Fax
- —
- Last updated
- January 29, 2009
Jova Gamboa is a Specialist based in Dorchester, MA. Jova Gamboa practices in Dorchester, MA and has the professional credentials of MED. The NPI Number for Jova Gamboa is 1750529624 and holds a License No. s98086223 (MA). The current practice location address for Jova Gamboa is 105 Victory RD, Dorchester, MA 02122-3518 and can be reached out via phone at 617-371-3010.
Provider Profile Details
- NPI Number
- 1750529624
- Provider Name
- Jova Gamboa
- Credential
- MED
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 105 Victory RD, Dorchester, MA 02122-3518
- Phone Number
- 617-371-3010
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 29, 2009
- Last Update Date
- January 29, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Victory RD
Dorchester, MA 02122-3518 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02122-3518
- Phone Number
- 617-371-3010
Provider Business Mailing Address Details
- Address
- 19 Chestnut St Apt 1
Hyde Park, MA 02136-1509 - City
- Hyde Park
- State
- MA
- Zip
- 02136-1509
- Phone Number
- 978-235-2813
License Information
- License Number
- s98086223
- License State
- MA
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Dorchester, MA
View all Specialists in Dorchester →Frequently Asked Questions
What is the NPI number of Jova Gamboa, MED?
The NPI number of Jova Gamboa, MED is 1750529624. It was assigned on January 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Jova Gamboa, MED?
Jova Gamboa, MED is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number s98086223.
Where does Jova Gamboa, MED practice?
The practice location is 105 Victory RD, Dorchester, MA 02122-3518. The office can be reached at 617-371-3010 (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 1750529624 directly on the NPPES registry website.