Kerry Bergman is a Pediatric Surgery in Newark, New Jersey. Kerry Bergman practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Kerry Bergman is 1346211174. The last update date is 2007-07-17.
Kerry Bergman's current location address is Po Box 23831, Newark, New Jersey. You can contact this provider via phone number 9739717185. The mailing address for Kerry Bergman is Po Box 23831, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Bergman |
|---|---|
| Address | Po Box 23831, Newark, New Jersey |
| Phone Number | 9739717185 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1346211174 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | Po Box 23831 |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71890001 |
| Phone Number | 9739717185 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 25MA05619600 |
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Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kerry Bergman by the Centers for Medicare & Medicaid Services (CMS)?
The Kerry Bergman has been assigned the NPI (National Provider Identifier) 1346211174. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Kerry Bergman's specialty and taxonomy code?
The Kerry Bergman's specialty is Pediatric Surgery, and the corresponding taxonomy code is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346211174 to Kerry Bergman?
The Kerry Bergman received its 1346211174 assignment from the Centers for Medicare & Medicaid Services on 2006-01-30.
When was the Kerry Bergman's information last updated?
The Kerry Bergman's information was last updated on 2007-07-17.
When was the information pertaining to Kerry Bergman most recently updated or revised?
The details related to Kerry Bergman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-17.
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