Bergam, Miro

Bergam, Miro is an individual health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5672. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bergam, Miro can be contacted via phone (973) 322-5512.

Contact Information

Primary practice address
94 Old Short Hills Rd Livingston NJ 07039-5672
Phone: (973) 322-5512
Fax: (973) 322-8165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA06868600 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 25MA06868600 New Jersey

Profile Details

NPI number 1104901420
LBN Legal business name Bergam, Miro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104901420 NPPES
New Jersey MEDICAID 7919409

Popular Providers