Provider Demographics
NPI:1841458759
Name:SCHAMBERG, NEAL JACOB (MD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:JACOB
Last Name:SCHAMBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 W PUTNAM AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6086
Mailing Address - Country:US
Mailing Address - Phone:203-863-2900
Mailing Address - Fax:203-863-2901
Practice Address - Street 1:500 W PUTNAM AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6086
Practice Address - Country:US
Practice Address - Phone:203-863-2900
Practice Address - Fax:203-863-2901
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT047732207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology