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Individual

VINCENZO BERGHELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
833 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19107-4414
(215) 955-5000
(215) 923-1089
Mailing address
833 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19107-4414

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD052559L
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD 052559L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014900220010
PA
05
6866506
NJ
Enumeration date
08/15/2005
Last updated
07/10/2014
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