Individual
ELLA BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
123 METRO BLVD, NUTLEY, NJ 07110-6101
(973) 761-9000
Mailing address
123 METRO BLVD, NUTLEY, NJ 07110-6101
(973) 761-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110012037
VA
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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