Individual
MR. PHILIP JACOB BERGEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
60 OLD NEW MILFORD RD STE 3E, BROOKFIELD, CT 06804-2414
(203) 775-6205
Mailing address
18 TURKEY HILL RD, NEWTOWN, CT 06470-2314
(203) 947-4621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.004823
CT
Other
Enumeration date
05/18/2020
Last updated
10/30/2025
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