Individual
MRS. BERGEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED DOULA
Contact information
Practice address
713 NOTTINGHILL LN, HAMILTON, NJ 08619-4009
(856) 434-1017
Mailing address
713 NOTTINGHILL LN, HAMILTON, NJ 08619-4009
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NA
NJ
Enumeration date
10/08/2021
Last updated
10/23/2021
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