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Individual
MRS. BERGEN IRIS KASSOFF
Active
Individual
MRS. BERGEN IRIS KASSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0009332
MD
363A00000X
Physician Assistant
Primary
PA200001820
DC
Other
Enumeration date
04/10/2023
Last updated
04/19/2024
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