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NPI Code Detail

MEDICARE: DR. DAVID B. BREGMAN MD, PHD

MEDICARE:  DR. DAVID B. BREGMAN  MD, PHD
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
1207ZP0101XAnatomic Pathology Physician203238-1NY

General Provider Information

NPI Number : 1952671455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID B. BREGMAN MD, PHD
Provider Business Mailing Address
First Line : 4 EPHRAIM RD
Second Line :
City : CLARKSBURG
State : NJ
Zip : 08510-1621
Country : US
Telephone Number : 609-276-6328
Fax Number :
Provider Business Practice Location Address
First Line : 4 EPHRAIM RD
Second Line :
City : CLARKSBURG
State : NJ
Zip : 08510-1621
Country : US
Telephone Number : 609-276-6328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2011
Last Update Date : 12/31/2011

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