Daniela Gerardette Marcella Bromberg, M.D
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Akron, OH
NPI 1669813622 · NPPES record last updated Feb 23, 2021
Key facts
- NPI
- 1669813622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 35.129676 (OH)
- Practice address
- 1 Perkins SQ
Akron, OH 44308-1063 - Phone
- (330) 543-1000
- NPI assigned
- Jul 7, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.129676 | OH | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children'S Hospital | Current | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
Interoperability endpoints
- dmarcella66230@direct.chmca.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35.129676 | OH | Yes |
Addresses
Primary practice location
1 Perkins SQ
Akron, OH 44308-1063
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-5015
Other providers in Akron, OH
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- Joann Mararri
- Eric Marasco
- Marc Glassman Inc
- Marc Glassman Inc
- Mehli Carolyn Erbaugh Marcellus
- Jason Marchal
- Ross F Marchetta
- Joseph G Marcius
- Amy Lynn Marcucci
All providers in Akron, OH · Child & Adolescent Psychiatry Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.