Provider / Organization | NPI | Date Certified |
---|---|---|
EMILY ANNE SMITH BERGBOWER | 1083175970 | 2024-03-09 |
Emily Anne Smith Bergbower is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083175970. Registration indicates Emily Anne Smith Bergbower is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Emily Anne Smith Bergbower MD, PHD |
Practice Office Address | 22 S GREENE ST RM S11C BALTIMORE, MD US |
Practice Office Telephone | 4103286120 |
Practice Office Fax | 4103285531 |
Mailing Address | 22 S GREENE ST RM S11C BALTIMORE, MD 212011544 US |
Business Telephone | 4103286120 |
Business Fax | 4103285531 |
Code | Practice | License No State |
---|---|---|
207L00000X PRIMARY | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | D98321
MD |