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Individual

DR. CALVERT ROSS BREGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1029 LIGHT ST, BALTIMORE, MD 21230-4017
(410) 752-8208
(410) 752-7144
Mailing address
1029 LIGHT ST, BALTIMORE, MD 21230-4017
(410) 752-8208
(410) 752-7144

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0876
MD

Other

Enumeration date
07/01/2005
Last updated
05/17/2011
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