Individual
BLAIR ALEXANDER BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 ENGLISH CREEK AVE, BLDG 200 SUITE214, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 677-7211
(609) 677-7210
Mailing address
2500 ENGLISH CREEK AVE, BLDG 200 SUITE214, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 677-7211
(609) 677-7210
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA04675800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3612007
—
NJ
Enumeration date
10/18/2006
Last updated
12/01/2008
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