Individual
DR. JAMES DAVID BERGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 688-8242
Mailing address
PO BOX 550, TORRINGTON, WY 82240-0550
(307) 630-1665
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11718A
WY
207L00000X
Anesthesiology Physician
Primary
79105
CT
207L00000X
Anesthesiology Physician
DR.0067337
CO
207L00000X
Anesthesiology Physician
MD61311598
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000199882
—
CO
Enumeration date
04/14/2014
Last updated
12/03/2024
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