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Individual

ERIC BERGMAN

Active
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Individual

ERIC BERGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPAS08-AMC

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
002113
CT
363A00000X
Physician Assistant
002113
CT
363AM0700X
Medical Physician Assistant
Primary
002113
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002113
LICENSE
CT
Enumeration date
05/03/2007
Last updated
04/03/2015
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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