Madeleine Mbuyamba in Brockton - Pediatrics

Madeleine Mbuyamba - NPI 1063446144

Madeleine Mbuyamba is a Pediatrics in Brockton, Massachusetts. Madeleine Mbuyamba practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Madeleine Mbuyamba is 1063446144. The last update date is 2008-05-21.

Madeleine Mbuyamba's current location address is 63 Main St, Brockton, Massachusetts. You can contact this provider via phone number 5085596699 and fax number 5085834649. The mailing address for Madeleine Mbuyamba is 63 Main St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Madeleine Mbuyamba
Address 63 Main St, Brockton, Massachusetts
Phone Number 5085596699
Fax Number 5085834649
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063446144
Provider Enumeration Date 2006-07-11
Last Updated Date 2008-05-21

Provider Mailing Address Detail

Address 63 Main St
City Brockton
State Massachusetts (MA)
Post Code 23014012
Phone Number 5085596699
Fax Number 5085834649

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 159479
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32530 HEALTHY START
98634901 MA NETWORK HEALTH
J25606 BLUE CROSS BLUE SHIELD
17976 NEIGHBORHOOD HEALTH PLAN
32530 CHILDRENS MEDICAL SEC. PL
36884 MA BMC HEALTHNET

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FAQs about Madeleine Mbuyamba

What is the Madeleine Mbuyamba's unique identification number?

The Madeleine Mbuyamba has been assigned the NPI (National Provider Identifier) Number 1063446144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Madeleine Mbuyamba is geographically located?

The Madeleine Mbuyamba is physically situated at the following location: 63 Main St, Brockton, MA, 23014012.

What is Madeleine Mbuyamba's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Madeleine Mbuyamba is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date did Madeleine Mbuyamba receive its 1063446144 assignment from the Centers for Medicare & Medicaid Services?

The Madeleine Mbuyamba was assigned its 1063446144 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Madeleine Mbuyamba last refreshed?

The information related to the Madeleine Mbuyamba, including its address, specialty, and other relevant details, was last updated on 2008-05-21.

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