Organization
UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA
Active
Other names
U.M.O.M.S.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART A BERGMAN DDS (PROFESSOR)
(410) 706-6195
Entity
Organization
Contact information
Practice address
650 W. BALTIMORE ST,, SUITE 1401, BALTIMORE, MD 21201-1501
(410) 706-6195
(410) 706-4199
Mailing address
PO BOX 23531, BALTIMORE, MD 21203-5531
(410) 706-6195
(410) 706-4199
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
12/14/2006
Last updated
10/01/2007
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