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Organization

HENRICO DOCTORS NEUROLOGY ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE BERGAMO (VICE PRESIDENT)
(804) 446-9440
Entity
Organization

Contact information

Practice address
7607 FOREST AVE STE 300, RICHMOND, VA 23229-4913
(804) 228-2742
(804) 288-9053
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760542591
VA
Enumeration date
12/11/2006
Last updated
11/20/2025
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