Individual
PETER JOHN BERGQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0080746
MD
Other
Enumeration date
04/18/2011
Last updated
07/06/2016
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