Individual
DR. PAUL BAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(617) 697-2656
(617) 697-2656
Mailing address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580
(617) 697-2656
(617) 697-2656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
221543
MA
Other
Enumeration date
01/10/2007
Last updated
12/26/2008
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