Organization
THE BERGAND GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG HOWARD LIPPENS (DIRECTOR)
(410) 853-7691
Entity
Organization
Contact information
Practice address
1300 YORK RD, LUTHERVILLE, MD 21093-6016
(410) 853-7691
Mailing address
1300 YORK RD, LUTHERVILLE, MD 21093-6016
(410) 853-7691
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741082
—
MD
05
—
990845
—
MD
Enumeration date
09/28/2018
Last updated
09/28/2018
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