# BERGEN MEDICAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063566636
- **Authorized official:** DR. BLAIR ALEXANDER BERGEN I M.D. (PRESIDENT)
- **Authorized official phone:** (609) 484-1001

## Contact information

- **Practice address:** 233 W ABSECON BLVD, ABSECON, NJ 08201-2403
- **Practice address phone:** (609) 484-1001
- **Practice address fax:** (609) 484-1004
- **Mailing address:** 26 WILSON DR, NORTHFIELD, NJ 08225-2569
- **Mailing address phone:** (609) 484-1001
- **Mailing address fax:** (609) 484-1004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA04675800 | NJ | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020