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General NPI Number Information
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NPI Number | 1619906740
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Entity Type | Individual
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Provider Name | RICHARD E ZAMBERNARDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 300 MAIN ST
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City | LEWISTON
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State | ME
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Zip | 04240-7027
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Country | US
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Telephone | 207-795-8320
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Fax | 207-795-8329
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Provider Business Mailing Address
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Address Line | PO BOX 1849
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City | LEWISTON
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State | ME
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Zip | 04241-1849
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Country | US
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Telephone | 207-784-2554
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Fax | 207-777-5363
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 015016
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License Number State | ME
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