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Organization

ELIAS MAMBERG MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELAIS MAMBERG (DOCTOR)
(302) 428-0337
Entity
Organization

Contact information

Practice address
1301 NORTH HARRISON STREET, WILMINGTON, DE 19806
(302) 428-0337
Mailing address
1301 N HARRISON ST, WILMINGTON, DE 19806-3128
(302) 428-0337

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
207V00000X
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000018501
DE
Enumeration date
04/24/2007
Last updated
06/19/2008
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