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Organization
UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA
Active
Organization
UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA
Active
Other names
U.M.O.M.S.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART A BERGMAN DDS (PROFESSOR)
(410) 706-6195
Entity
Organization
Contact information
Practice address
650 W. BALTIMORE ST,, SUITE 1401, BALTIMORE, MD 21201-1501
(410) 706-6195
(410) 706-4199
Mailing address
PO BOX 23531, BALTIMORE, MD 21203-5531
(410) 706-6195
(410) 706-4199
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
2086S0127X
Trauma Surgery Physician
—
NULL
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
12/14/2006
Last updated
10/01/2007
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