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NPI Code Detail

MEDICARE: JONATHAN A BREGMAN

MEDICARE:   JONATHAN A BREGMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist4174NC

General Provider Information

NPI Number : 1770779753
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN A BREGMAN
Provider Business Mailing Address
First Line : 3913 STERLING RIDGE LN
Second Line :
City : DURHAM
State : NC
Zip : 27707-5459
Country : US
Telephone Number : 919-489-6000
Fax Number :
Provider Business Practice Location Address
First Line : 3913 STERLING RIDGE LN
Second Line :
City : DURHAM
State : NC
Zip : 27707-5459
Country : US
Telephone Number : 919-489-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 09/24/2007

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Directions to “ JONATHAN A BREGMAN ” Practice Location

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