# UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** U.M.O.M.S.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538221825
- **Authorized official:** DR. STEWART A BERGMAN DDS (PROFESSOR)
- **Authorized official phone:** (410) 706-6195

## Contact information

- **Practice address:** 650 W. BALTIMORE ST,, SUITE 1401, BALTIMORE, MD 21201-1501
- **Practice address phone:** (410) 706-6195
- **Practice address fax:** (410) 706-4199
- **Mailing address:** PO BOX 23531, BALTIMORE, MD 21203-5531
- **Mailing address phone:** (410) 706-6195
- **Mailing address fax:** (410) 706-4199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |
| 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