Individual
MITCHELL H BAMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MEMORIAL DR STE 108, LEOMINSTER, MA 01453-2238
(978) 466-2280
(978) 466-2282
Mailing address
33 CARRIAGE HILL CIR, SOUTHBOROUGH, MA 01772-1341
(508) 954-9988
(508) 393-9107
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
71104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061342A
—
MA
Enumeration date
03/14/2006
Last updated
08/26/2020
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