Bergelson, Jeffrey M

Bergelson, Jeffrey M is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Phila - Infectious Diseases, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Bergelson, Jeffrey M can be contacted via phone (215) 590-2017.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Phila - Infectious Diseases Philadelphia PA 19104-4319
Phone: (215) 590-2017
Fax: (215) 590-2025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD063460L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD063460L Pennsylvania

Profile Details

NPI number 1437179454
LBN Legal business name Bergelson, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 19th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437179454 NPPES
Pennsylvania MEDICAID 001661738
Pennsylvania MEDICAID 7365705

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