Individual
ANDREW S BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
131 ROUTE 70 STE 100A, MEDFORD, NJ 08055-9501
(609) 267-9400
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00155300
NJ
363A00000X
Physician Assistant
Primary
25MP00481600
NJ
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
12/02/2013
Last updated
11/27/2023
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