WALTER BRUCE LUNDBERG MD NPI 1538108485

NPI Information

NPI: 1538108485
Provider Name: WALTER BRUCE LUNDBERG, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
1450 CHAPEL ST
NEW HAVEN, CT
ZIP 06511
Phone: (203) 867-5420
Get Directions

Walter Bruce Lundberg, MD is a hematology and oncology internal medicine in New Haven, CT. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Walter Bruce Lundberg, MD NPI is 1538108485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1450 CHAPEL ST
NEW HAVEN, CT
ZIP 06511-405
Phone: (203) 867-5420
Fax: (203) 867-5422

The enumeration date for this NPI number is 6/6/2006 and was last updated on 1/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	016677	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	001166776	MEDICAID	CONNECTICUT
2	820000007	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
3	D85287	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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