Mbuyamba, Madeleine

Mbuyamba, Madeleine is an individual health care provider with primary practice located at 63 Main St , Brockton MA 02301-4012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mbuyamba, Madeleine can be contacted via phone (508) 559-6699.

Contact Information

Primary practice address
63 Main St Brockton MA 02301-4012
Phone: (508) 559-6699
Fax: (508) 583-4649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 159479 Massachusetts

Profile Details

NPI number 1063446144
LBN Legal business name Mbuyamba, Madeleine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063446144 NPPES
Other 32530 HEALTHY START
Other 98634901 HEALTHY START
Other J25606 HEALTHY START
Other 0017976 HEALTHY START
Other 32530 HEALTHY START
Other 000000036884 HEALTHY START

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