Individual
MATTHEW RYAN BERGSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7518
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD.205936
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07958335
—
MS
05
—
2104918
—
LA
Enumeration date
03/19/2010
Last updated
11/18/2013
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