Individual
DR. MARTA BERGESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1211 DUBLIN RD, COLUMBUS, OH 43215-1091
(614) 486-5207
Mailing address
1211 DUBLIN RD, COLUMBUS, OH 43215-1091
(614) 486-5207
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-076518B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211188
ANTHEM
OH
05
—
2309380
—
OH
01
—
2900919
UNITED HEALTHCARE
OH
01
—
7209300
AETNA
OH
Enumeration date
08/30/2005
Last updated
07/08/2007
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