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Contact Information

ELMER S GAMBOA, MD
1 CAPITAL WAY
PENNINGTON, NJ08534-2520
 Phone: 609-815-7810
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ELMER S GAMBOA · (Male)

NPI # 1205973666
Status Active
Credentials MD
Entity Individual
Enumeration date 02/01/2007
Last updated 05/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA06897600
  • NJ Medicaid 8409501
Hospital affiliation(s)
  • CAPITAL HEALTH MEDICAL CENTER - HOPEWELL - (Acute Care)
    ONE CAPITAL WAY
    PENNINGTON, NJ 08534
  • CAPITAL HEALTH SYSTEM-FULD CAMPUS - (Acute Care)
    750 BRUNSWICK AVE
    TRENTON, NJ 08638
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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