Individual
PEGGY A SOLOMON-BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-7247
(609) 572-0000
(609) 572-0039
Mailing address
1 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1875
(609) 567-0434
(609) 567-1169
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA04422100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0394434000
AMERIHEALTH HMO/PPO
NJ
01
—
1949826
UNITED HEALTH CARE
—
01
—
1K2671
PHS
—
01
—
464751
AETNA PPO
NJ
05
—
7850905
—
NJ
01
—
ATP053
OXFORD
NJ
Enumeration date
05/08/2006
Last updated
06/04/2020
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