Individual
MISS KRISTEN LYNN BERGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
999 ROUTE 73 N STE 301&401, MARLTON, NJ 08053-1227
(856) 821-6360
(856) 821-6361
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(267) 339-3603
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00207700
NJ
363A00000X
Physician Assistant
MA053657
PA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/17/2008
Last updated
03/06/2019
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