Individual
THOMAS BERGEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
11 DEVOE ST, SOUTH RIVER, NJ 08882-1939
(732) 710-6319
Mailing address
11 DEVOE ST, SOUTH RIVER, NJ 08882-1939
(732) 710-6319
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05986800
NJ
Other
Enumeration date
04/25/2016
Last updated
04/12/2026
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