Individual
DR. JASPER IMBOEMBOE NGOMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 ELM ST STE 1, NORTH ATTLEBORO, MA 02760-3314
(774) 643-6261
Mailing address
380 ELM ST STE 1, NORTH ATTLEBORO, MA 02760-3314
(774) 643-6261
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
245843
MA
208M00000X
Hospitalist Physician
Primary
MD13372
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093437A
—
MA
Enumeration date
01/26/2009
Last updated
01/22/2025
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