Provider Demographics
NPI:1265649073
Name:GAMBLE, SARAH MILDRED (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MILDRED
Last Name:GAMBLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5205
Mailing Address - Country:US
Mailing Address - Phone:203-869-2800
Mailing Address - Fax:203-869-2803
Practice Address - Street 1:15 VALLEY DR
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5205
Practice Address - Country:US
Practice Address - Phone:203-869-2800
Practice Address - Fax:203-869-2803
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243894207R00000X
CT045358207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine