MEDICARE: WILLIAM L BAMBACH D.O.

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
1	207R00000X	Internal Medicine Physician	OS016929	PA

General Provider Information

NPI Number	:	1548567076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM L BAMBACH D.O.

Provider Business Mailing Address
First Line	:	2501 N 3RD ST FL 3
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-1904
Country	:	US
Telephone Number	:	717-782-4785
Fax Number	:	717-782-6471

Provider Business Practice Location Address
First Line	:	2501 N 3RD ST FL 3
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-1904
Country	:	US
Telephone Number	:	717-782-4785
Fax Number	:	717-782-6471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2011
Last Update Date	:	03/09/2026

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