Individual
MR. RAYMOND E BAMBERG
Active
Individual
MR. RAYMOND E BAMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
290
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912915307
BLUE CROSS BLUE SHIELD
NM
05
—
T9313
—
NM
Enumeration date
08/03/2006
Last updated
06/23/2008
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