NPI 1043940208

Alan Gamble

Practitioner Home Modifications Contractor Jackson, NJ

Practice location

Address: 25 Carlisle Dr, Jackson, NJ 08527-6304
Phone: (732) 742-6164

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 13VH10769700 (NJ)

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Registry record

NPI: 1043940208
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2022
Record last updated: 12 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.