Individual
KERRY BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(973) 971-7185
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-7185
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
25MA05619600
NJ
Other
Enumeration date
01/30/2006
Last updated
07/17/2007
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