Thor Christian Bergersen in Needham - Psychiatry
Thor Christian Bergersen - NPI 1013112796
Thor Christian Bergersen is a Psychiatry in Needham, Massachusetts. Thor Christian Bergersen practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Thor Christian Bergersen is 1013112796. The last update date is 2007-07-08.
Thor Christian Bergersen's current location address is 75 2nd Ave, Needham, Massachusetts. You can contact this provider via phone number 7817266698 and fax number 7817266725. The mailing address for Thor Christian Bergersen is 75 2nd Ave, Needham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thor Christian Bergersen |
|---|---|
| Address | 75 2nd Ave, Needham, Massachusetts |
| Phone Number | 7817266698 |
| Fax Number | 7817266725 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013112796 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 75 2nd Ave |
|---|---|
| City | Needham |
| State | Massachusetts (MA) |
| Post Code | 24942820 |
| Phone Number | 7817266698 |
| Fax Number | 7817266725 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 204123 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identification code assigned to Thor Christian Bergersen by the Centers for Medicare & Medicaid Services?
The Thor Christian Bergersen has been issued the NPI (National Provider Identifier) 1013112796, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Thor Christian Bergersen's facilities are geographically located?
The facilities of Thor Christian Bergersen are physically situated at the following location: 75 2Nd Ave, Needham, MA, 24942820.
What is Thor Christian Bergersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thor Christian Bergersen is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Thor Christian Bergersen receive the assignment of its 1013112796 from the Centers for Medicare & Medicaid Services?
The Thor Christian Bergersen was issued its 1013112796 by the Centers for Medicare & Medicaid Services on 2007-06-20.
When was the Thor Christian Bergersen's information last updated?
The Thor Christian Bergersen's information was last updated on 2007-07-08.