Stephan O Bamberger
Pain Medicine
15 Gracelawn Rd
Auburn
, Maine 04210-6334
Stephan O Bamberger
Pain Medicine
15 Gracelawn Rd
Auburn
, Maine 04210-6334
(207) 798-6981
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Stephan O Bamberger
- 331 Maine St Suite 5
- Brunswick, ME
- Zip : 04011-3358
- Fax : (207) 798-6981
- Phone : (207) 798-6974
Second Address
- Stephan O Bamberger
- 15 Gracelawn Rd
- Auburn, ME
- Zip : 04210-6334
- Fax : (207) 333-4767
- Phone : (207) 333-4799
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | MD14080 | ME |
National Provider Identifier
| NPI | 1003881319 |
|---|---|
| Provider Name | Stephan O Bamberger |
| First Address | Brunswick, ME 04011-3358 |
| Second Address | Auburn, ME 04210-6334 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2006 |
| Last Update Date | 10/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G12426 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.