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Individual

CHRISTINA A BERGQVIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEUROLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1719
(215) 590-1771
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD054202L
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD054202L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001647659
PA
05
7291205
NJ
Enumeration date
07/28/2006
Last updated
04/18/2013
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