Individual
DEREK BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 VERONICA AVE STE 205, SOMERSET, NJ 08873-3491
(732) 640-5316
(800) 689-2361
Mailing address
549 MANCHESTER CT, PISCATAWAY, NJ 08854-6221
(701) 226-1806
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
142708
MT
208600000X
Surgery Physician
Primary
25MA11864000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2015
Last updated
06/27/2024
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