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1871773143
THEODORE BERGEN MANNY
GREENSBORO, NC
NPI
1871773143
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Other Name
TED BERGEN MANNY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NC 2012-00902)
Enumeration Date
2007-11-05
Last Update Date
2013-06-25
Business Address
Dr. THEODORE BERGEN MANNY M.D.
509 N ELAM AVE FL 2
GREENSBORO, NC 27403-1157
Phone number: 336-274-1114
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Mailing Address
Dr. THEODORE BERGEN MANNY M.D.
509 N ELAM AVE FL 2
GREENSBORO, NC 27403-1157
Phone number: 336-274-1114
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