Paul T Gambardella DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

000547 Issued in CT

Legal business name

PAUL T GAMBARDELLA DPM

Practice address

329 Main St
Unit 110
Wallingford, CT 06492-2279

Phone

(203) 265-6677

NPI assigned

Jan 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul T Gambardella

Title

Owner

Phone

(203) 265-6677

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1275710329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAIN ST",
            "address_2": "UNIT 110",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922279",
            "telephone_number": "203-265-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAIN ST",
            "address_2": "UNIT 110",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922279",
            "telephone_number": "203-265-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T GAMBARDELLA DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "GAMBARDELLA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-265-6677"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "000547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Foot Surgery Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.