Individual
KURT BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
282 STATE ROUTE 101, UNIT 11, AMHERST, NH 03031-1706
(603) 372-5125
(603) 372-5126
Mailing address
73 NEWTON RD, STE 101, PLAISTOW, NH 03865-2424
(978) 388-7272
(978) 388-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2757
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000184301
MEDICARE PTAN
NH
Enumeration date
08/23/2006
Last updated
06/25/2015
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