Individual
DR. RUSS S BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER, DEPT OF DENTISTRY, NEWARK, NJ 07112-2027
(973) 926-7642
Mailing address
201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER, DEPT OF DENTISTRY, NEWARK, NJ 07112-2027
(973) 926-7642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI014884
NJ
Other
Enumeration date
10/05/2006
Last updated
08/17/2010
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