| Sanford Bloomberg Md | |
|
16 Center Street Room 226 Northampton MA 01060 | |
| (413) 584-1402 | |
| (413) 585-1565 |
| Full Name | Sanford Bloomberg Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 16 Center Street, Northampton, Massachusetts |
| Authorized Official Name and Position | Sanford Bloomberg (PC PRESIDENT) |
| Authorized Official Contact | 4135841402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Bloomberg Md 112 Washington Avenue Northampton MA 01060 Ph: (413) 584-1402 | Sanford Bloomberg Md 16 Center Street Room 226 Northampton MA 01060 Ph: (413) 584-1402 |
| NPI Number | 1003085762 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003085762 | NPI | - | NPPES |
| SAM13765 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31443 (Massachusetts) | Primary |
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