Individual
DAVID WILTON BERGSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 854-4157
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77649
WI
2080P0202X
Pediatric Cardiology Physician
Primary
344260
NY
Other
Enumeration date
06/06/2020
Last updated
06/19/2026
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