Organization
HENRICO SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE BERGAMO (VP)
(804) 267-5950
Entity
Organization
Contact information
Practice address
7607 FOREST AVE STE 220, RICHMOND, VA 23229-4913
(804) 285-9416
Mailing address
2000 HEALTH PARK DR, MOB III, SUITE 302, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639301005
—
VA
Enumeration date
08/18/2009
Last updated
11/20/2025
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