Individual
MARTIN JAN BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 W CHESTER PIKE STE 201, RIDLEY PARK, PA 19078-1629
(610) 521-1701
(610) 521-9450
Mailing address
23 W CHESTER PIKE STE 201, RIDLEY PARK, PA 19078-1629
(610) 521-1701
(610) 521-9450
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD030099E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079883
—
PA
Enumeration date
10/27/2005
Last updated
06/27/2019
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