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Individual

DR. LEIF O NORDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1841 QUIET CV, FAYETTEVILLE, NC 28304-3985
(910) 829-6588
(910) 615-9692
Mailing address
2001 W MAIN ST, SUITE 150, STAMFORD, CT 06902-4501
(203) 324-4700
(203) 324-5691

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
042356
CT
208200000X
Plastic Surgery Physician
Primary
200200972
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001423566
CT
Enumeration date
02/07/2006
Last updated
05/13/2026
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