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Individual
PEGGY A SOLOMON-BERGEN
Active
Individual
PEGGY A SOLOMON-BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA04422100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0394434000
AMERIHEALTH HMO/PPO
NJ
01
—
1949826
UNITED HEALTH CARE
—
01
—
1K2671
PHS
—
01
—
464751
AETNA PPO
NJ
05
—
7850905
—
NJ
01
—
ATP053
OXFORD
NJ
Enumeration date
05/08/2006
Last updated
06/04/2020
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