Provider Demographics
NPI:1538259866
Name:USA HC BAMBERG
Entity type:Organization
Organization Name:USA HC BAMBERG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CDR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:01149-951-8276
Mailing Address - Street 1:USA HC BAMBERG UNIT 27528 BOX#187
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09139
Mailing Address - Country:DE
Mailing Address - Phone:01149-951-7683
Mailing Address - Fax:
Practice Address - Street 1:7 NORTHAM DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2453
Practice Address - Country:US
Practice Address - Phone:857-982-5228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15844261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service