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Individual

ANDREW K SPONGBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
33195
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3084086
MA
Enumeration date
02/28/2006
Last updated
02/07/2018
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