Organization
SANFORD BLOOMBERG MD PC
Active
Parent organization
SANFORD BLOOMBERG MD PC
Other names
Sanford Bloomberg MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD BLOOMBERG MD PC
Authorized official
DR. SANFORD BLOOMBERG (PC PRESIDENT)
(413) 584-1402
Entity
Organization
Contact information
Practice address
16 CENTER STREET, ROOM 226, NORTHAMPTON, MA 01060
(413) 584-1402
(413) 585-1565
Mailing address
112 WASHINGTON AVENUE, NORTHAMPTON, MA 01060
(413) 584-1402
(413) 585-1565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31443
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAM13765
—
MA
Enumeration date
02/27/2008
Last updated
02/27/2008
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