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Individual

GREGORY KENT BERGEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9441
Mailing address
PO BOX 64227, BALTIMORE, MD 21264-4227
(410) 955-9441

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D25994
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
315991400
MD
Enumeration date
04/25/2006
Last updated
05/22/2013
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