Individual
DR. MARCIA J BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC, LOWELL, MA 01854-2134
(978) 454-0941
Mailing address
173 LITTLETON COUNTY RD, HARVARD, MA 01451-1459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
151441
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3181421
—
MA
Enumeration date
06/15/2006
Last updated
04/15/2008
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