Individual
JACK M. BERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 LORRAINE DR, NAPA, CA 94558-2123
(707) 257-1137
Mailing address
1030 LORRAINE DR, NAPA, CA 94558-2123
(707) 257-1137
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G32310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G323100
—
CA
Enumeration date
11/15/2006
Last updated
06/24/2009
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