Individual
DR. ROBERTO C.M. BERGAMASCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HSC T19-020, STONY BROOK, NY 11794-8191
(631) 444-2704
(631) 444-6348
Mailing address
HSC T19 020, STONY BROOK, NY 11794-8191
(631) 444-2704
(631) 444-6348
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
250434-1
NY
208600000X
Surgery Physician
MD420914
PA
Other
Enumeration date
07/22/2005
Last updated
05/02/2017
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