Bergen, Joseph M

Bergen, Joseph M is an individual health care provider with primary practice located at 133 Old Road To 9 Acre Cor E.D., Concord MA 01742-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bergen, Joseph M can be contacted via phone (978) 287-3697.

Contact Information

Primary practice address
133 Old Road To 9 Acre Cor E.D. Concord MA 01742-4159
Phone: (978) 287-3697
Fax: (978) 287-3674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 81816 Massachusetts

Profile Details

NPI number 1518921972
LBN Legal business name Bergen, Joseph M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1518921972 NPPES
Massachusetts MEDICAID 3154475

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