Individual
MS. MARY C BERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1114 GOFFLE RD, HAWTHORNE, NJ 07506-2014
(973) 427-7676
(973) 427-7476
Mailing address
61 W GLEN AVE, PARAMUS, NJ 07652-2335
(201) 444-0992
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07211000
NJ
Other
Enumeration date
02/21/2007
Last updated
05/20/2013
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