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Individual

MR. FRED J BERGANINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
6125 UNIVERSITY DR NW, SUITE A14, HUNTSVILLE, AL 35806-1757
(256) 922-0004
Mailing address
6125 UNIVERSITY DR NW, SUITE A14, HUNTSVILLE, AL 35806-1757
(256) 922-0004

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4186
AL

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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