Individual
DR. BENJAMIN R BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 HIGH ST, SUITE 205, NEWTON, NJ 07860-9604
(973) 579-2100
(973) 579-6638
Mailing address
222 HIGH ST, SUITE 205, NEWTON, NJ 07860-9604
(973) 579-2100
(973) 579-6638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09046400
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA09046400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303992
—
NJ
01
—
P01086189
RAILROAD MEDICARE
—
Enumeration date
06/27/2007
Last updated
02/01/2013
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