Provider Demographics
NPI:1104801646
Name:GATTO-GAMBACORTA, LINDA (PHARMD,CCP,FASCP)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:GATTO-GAMBACORTA
Suffix:
Gender:F
Credentials:PHARMD,CCP,FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1089 JOHNSTON DR
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6414
Mailing Address - Country:US
Mailing Address - Phone:908-490-0353
Mailing Address - Fax:908-490-0354
Practice Address - Street 1:1089 JOHNSTON DR
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6414
Practice Address - Country:US
Practice Address - Phone:908-490-0353
Practice Address - Fax:908-490-0354
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI018155001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy