Individual
DR. LEAH BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9105 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3930
(410) 574-1330
Mailing address
175 E MAIN ST, STE 200, HUNTINGTON, NY 11743-2981
(631) 549-5700
(631) 424-6759
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D87552
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
12/08/2020
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