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Organization
ROGER B SHAMBO, MD, LLC
Active
Organization
ROGER B SHAMBO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER B SHAMBO MD (OWNER)
(315) 688-2305
Entity
Organization
Contact information
Practice address
9732 STATE ROUTE 12, COPENHAGEN, NY 13626-0026
(315) 688-2305
(315) 688-2139
Mailing address
9732 STATE ROUTE 12, PO BOX 26, COPENHAGEN, NY 13626-0026
(315) 688-2305
(315) 688-2139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
165521
NY
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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