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Individual

BRENDON AUGUSTINE BAMBIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(208) 830-7712

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
R3880
NH
390200000X
Student in an Organized Health Care Education/Training Program
R3880
NH
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/04/2019
Last updated
03/26/2026
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