Provider Demographics
NPI:1497368732
Name:BAMBERGER CONSULTING GROUP PC
Entity Type:Organization
Organization Name:BAMBERGER CONSULTING GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAMBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-954-9988
Mailing Address - Street 1:33 CARRIAGE HILL CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-1341
Mailing Address - Country:US
Mailing Address - Phone:508-954-9988
Mailing Address - Fax:508-393-9107
Practice Address - Street 1:50 MEMORIAL DR STE 108
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2238
Practice Address - Country:US
Practice Address - Phone:978-466-2280
Practice Address - Fax:978-466-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty