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MARA MICHELLE BERGANOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN CNM WHNP-BC

Contact information

Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Mailing address
840 NORTH RD, RIDGEWOOD, NJ 07450-2119

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
776424
NY
163WM0705X
Medical-Surgical Registered Nurse
26NR21594300
NJ
176B00000X
Midwife
Primary
25ME00095900
NJ
176B00000X
Midwife
NY
363LW0102X
Women's Health Nurse Practitioner
F421971-01
NY

Other

Enumeration date
04/15/2026
Last updated
04/15/2026
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