Individual
ADAM T NOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
197495
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01753828
—
NY
Enumeration date
08/10/2005
Last updated
09/25/2012
Update your record
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