Individual
DR. KENNETH MARC FOMBERSTEIN
Active
Individual
DR. KENNETH MARC FOMBERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
278926
NY
207L00000X
Anesthesiology Physician
52958
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P P01374947
RR MEDICARE
CT
05
—
P1114242435
—
CT
Enumeration date
03/30/2010
Last updated
04/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up