Jorge J Bergese in Mansfield - Plastic Surgery
Jorge J Bergese - NPI 1053417550
Jorge J Bergese is a Plastic Surgery in Mansfield, Ohio. Jorge J Bergese practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Jorge J Bergese is 1053417550. The last update date is 2007-07-08.
Jorge J Bergese's current location address is 370 Cline Ave, Mansfield, Ohio. You can contact this provider via phone number 4197561125 and fax number 4197561825. The mailing address for Jorge J Bergese is 370 Cline Ave, Mansfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorge J Bergese |
|---|---|
| Address | 370 Cline Ave, Mansfield, Ohio |
| Phone Number | 4197561125 |
| Fax Number | 4197561825 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053417550 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 370 Cline Ave |
|---|---|
| City | Mansfield |
| State | Ohio (OH) |
| Post Code | 449071057 |
| Phone Number | 4197561125 |
| Fax Number | 4197561825 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 35.038255 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 332376 | OH | -- |
Post Comment/ Review Below
What is the Jorge J Bergese's 1053417550?
The Jorge J Bergese's NPI (National Provider Identifier) Number is 1053417550. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jorge J Bergese is physically located?
The Jorge J Bergese is situated at the following address: 370 Cline Ave, Mansfield, OH 449071057.
What is Jorge J Bergese's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jorge J Bergese's area of specialization is Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053417550 to Jorge J Bergese?
The Centers for Medicare & Medicaid Services assigned the 1053417550 to Jorge J Bergese on 2006-09-15.
As of what date was the information regarding Jorge J Bergese, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jorge J Bergese, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.