Eric Bergman in New Haven - Medical

Eric Bergman - NPI 1891917381

Eric Bergman is a Medical in New Haven, Connecticut. Eric Bergman practices all healthcare services and medical treatments related to Medical. The NPI Number for Eric Bergman is 1891917381. The last update date is 2015-04-03.

Eric Bergman's current location address is 20 York Street Cb-2041, New Haven, Connecticut. You can contact this provider via phone number 2036884748 and fax number 2036884740. The mailing address for Eric Bergman is 20 York Street Cb-2041, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Bergman
Address 20 York Street Cb-2041, New Haven, Connecticut
Phone Number 2036884748
Fax Number 2036884740
Sole Proprietor N
Credentials MPAS08-AMC

NPI Number Detail

NPI Number 1891917381
Provider Enumeration Date 2007-05-03
Last Updated Date 2015-04-03

Provider Mailing Address Detail

Address 20 York Street Cb-2041
City New Haven
State Connecticut (CT)
Post Code 6510
Phone Number 2036884748
Fax Number 2036884740

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 2113
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2113 CT LICENSE

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FAQs about Eric Bergman

What is the unique 10-digit identification code issued to Eric Bergman by the Centers for Medicare & Medicaid Services?

The Eric Bergman has been assigned the NPI (National Provider Identifier) 1891917381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Eric Bergman?

The Eric Bergman is situated at 20 York Street Cb-2041, in the city of New Haven, state of CT, with the zip code 6510.

What is the area of specialization for Eric Bergman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Eric Bergman is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date was the 1891917381 assigned to Eric Bergman?

The Eric Bergman was issued its 1891917381 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Eric Bergman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eric Bergman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-03.

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