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NPI Code Detail

MEDICARE: BARBARA BAMBACH MD

MEDICARE: BARBARA BAMBACH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0207XPediatric Hematology & Oncology Physician199415NY

General Provider Information

NPI Number : 1710982418
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA BAMBACH MD
Provider Business Mailing Address
First Line : ELM AND CARLTON STREETS
Second Line :
City : BUFFALO
State : NY
Zip : 14263-0001
Country : US
Telephone Number : 716-845-2300
Fax Number : 716-845-8265
Provider Business Practice Location Address
First Line : ELM AND CARLTON STREETS
Second Line :
City : BUFFALO
State : NY
Zip : 14263-0001
Country : US
Telephone Number : 716-845-2300
Fax Number : 716-845-8265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 12/16/2020

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Directions to “ BARBARA BAMBACH MD” Practice Location

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