Bergman, Justin Abraham

Bergman, Justin Abraham is an individual health care provider with primary practice located at 640 North Broad Street Dr Justin Bergman, Elizabeth NJ 07208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bergman, Justin Abraham can be contacted via phone (908) 289-7272.

Contact Information

Primary practice address
640 North Broad Street Dr Justin Bergman Elizabeth NJ 07208
Phone: (908) 289-7272
Fax: (908) 354-0888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X M28080 New Jersey

Profile Details

NPI number 1487726048
LBN Legal business name Bergman, Justin Abraham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487726048 NPPES
New Jersey MEDICAID 2918102

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