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Individual

BRUCE F GOMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Mailing address
324 GANNETT DR, SUITE 200, SOUTH PORTLAND, ME 04106-3270
(207) 482-7800

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
016765
ME
207X00000X
Orthopaedic Surgery Physician
16008
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3085909
NH
05
431575499
ME
Enumeration date
02/27/2006
Last updated
09/18/2018
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