Individual
VIVION LARRY BAMBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E GIBBSBORO RD APT 1611, LINDENWOLD, NJ 08021-1923
(346) 262-7732
Mailing address
101 E GIBBSBORO RD APT 1611, LINDENWOLD, NJ 08021-1923
(346) 262-7732
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649857186
—
NJ
Enumeration date
03/29/2021
Last updated
01/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us