Doctor Name: | DR. ANDERS A HOLMBERG |
NPI Number: | 1477843738 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 161607 |
Business Practice Address: | 4039 Barnes Ave Bronx, NY - 104664309 |
Business Phone Number: | 7185198840 |
Business Fax Number: | |
Mailing Address: | 4039 Barnes Ave, BRONX |
State: | NY |
Postal Code: | 104664309 |
Phone Number: | 7185198840 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2011 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 161607 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |