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Individual

DR. BERNEDETTE SACCOMANNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
44450
CO
207P00000X
Emergency Medicine Physician
ME 80780
FL
2085B0100X
Body Imaging Physician
0044450
CO
2085R0202X
Diagnostic Radiology Physician
Primary
0044450
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026467
KAISER COMMERCIAL NUMBER
CO
01
58758
BLUECROSS BLUESHIELD
FL
05
60702087
CO
05
79721206
CO
Enumeration date
06/14/2006
Last updated
06/02/2021
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