Individual
MICHELE BERGAMOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 GOULD PL, CALDWELL, NJ 07006-5609
(973) 715-9939
Mailing address
25 GOULD PL, CALDWELL, NJ 07006-5609
(973) 715-9939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00689600
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00689600
NJ
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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