person
Dr. Kenneth Robert Bergman, MD
Allergy Physician in Centreville, Virginia
NPI 1013912252

Kenneth Robert Bergman is an Allergy Physician based in Centreville, VA and is specialized in Allergy. Kenneth Robert Bergman practices in Centreville, VA and has the professional credentials of MD. The NPI Number for Kenneth Robert Bergman is 1013912252 and holds a License No. 0101025702 (Virginia).

The current practice location address for Kenneth Robert Bergman is 13890 Braddock Rd, Centreville, VA and can be reached out via phone at 703-263-2333 and via fax at 703-263-0361.

Location: 13890 Braddock Rd, Centreville, VA, 20121-2437
person
Provider Profile Details
NPI Number
1013912252
Provider Name
Kenneth Robert Bergman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13890 Braddock Rd, Centreville, VA, 20121-2437
Phone Number
703-263-2333
Fax Number
703-263-0361
Provider Enumeration Date
06/15/2005
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
13890 Braddock Rd
City
State
Zip
20121-2437
Phone Number
703-263-2333
Fax Number
703-263-0361
person
Provider Business Mailing Address Details
Address
13890 Braddock Rd
City
State
Zip
20121-2437
Phone Number
703-263-2333
Fax Number
703-263-0361
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
0101025702 (Virginia)
Definition
Definition to come...
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