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Provider Information for 1043239536

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ROBERT COOPER SHAMBERGER MD

Gender: MALE

Individual NPI: 1043239536

Calendar   Last Updated:  2012-04-20
  Certification Date: 

Details

Name Value
NPI 1043239536
Enumeration Date 2006-07-18
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 300 LONGWOOD AVENUE CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
United States

Phone: 617-355-8326 | Fax: 617-730-0299
View Map External Link
Primary Practice Address 300 LONGWOOD AVENUE
BOSTON, MA 02115
United States

Phone: 617-355-8326 | Fax: 617-730-0299
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2086S0120X - Surgery Pediatric Surgery MA 42482
No 208600000X - Surgery MA 42482
No 2086S0102X - Surgery Surgical Critical Care MA 42482