Provider Demographics
NPI:1255560660
Name:GAMBA, JOSEPH J
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:GAMBA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-1919
Mailing Address - Country:US
Mailing Address - Phone:413-532-0926
Mailing Address - Fax:413-532-0928
Practice Address - Street 1:1727 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-1919
Practice Address - Country:US
Practice Address - Phone:413-532-0926
Practice Address - Fax:413-532-0928
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health