Bergman, Martin Jan

Bergman, Martin Jan is an sole proprietor health care provider with primary practice located at 23 W Chester Pike Ste 201 , Ridley Park PA 19078-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bergman, Martin Jan can be contacted via phone (610) 521-1701.

Contact Information

Primary practice address
23 W Chester Pike Ste 201 Ridley Park PA 19078-1629
Phone: (610) 521-1701
Fax: (610) 521-9450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD030099E Pennsylvania

Profile Details

NPI number 1710977004
LBN Legal business name Bergman, Martin Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Jun 27th, 2019 - about 6 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 1710977004 NPPES
Pennsylvania MEDICAID 1079883

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