Provider Demographics
NPI:1063120863
Name:GAMBALE, ALBERT (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:GAMBALE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ELLEN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-1932
Mailing Address - Country:US
Mailing Address - Phone:973-902-3962
Mailing Address - Fax:
Practice Address - Street 1:563 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2426
Practice Address - Country:US
Practice Address - Phone:973-243-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist