Individual
MRS. BERGEN IRIS KASSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 IRVING ST NW STE 216, WASHINGTON, DC 20010-2993
(301) 742-6051
Mailing address
106 IRVING ST NW STE 216, WASHINGTON, DC 20010-2993
(301) 742-6051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0009332
MD
363A00000X
Physician Assistant
Primary
PA200001820
DC
Other
Enumeration date
04/10/2023
Last updated
04/19/2024
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