Bergman, Benjamin R

Bergman, Benjamin R is an individual health care provider with primary practice located at 222 High St Suite 205, Newton NJ 07860-9604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bergman, Benjamin R can be contacted via phone (973) 579-2100.

Contact Information

Primary practice address
222 High St Suite 205 Newton NJ 07860-9604
Phone: (973) 579-2100
Fax: (973) 579-6638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA09046400 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA09046400 New Jersey

Profile Details

NPI number 1679770366
LBN Legal business name Bergman, Benjamin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Feb 1st, 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 1679770366 NPPES
New Jersey MEDICAID 0303992
New Jersey Other P01086189

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