Individual
JOSEPH GEORGE BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-6670
(603) 354-6671
Mailing address
17 ALGONQUIN DR, KEENE, NH 03431-1810
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
8507
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004277
—
NH
Enumeration date
01/02/2007
Last updated
07/08/2007
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