Bergold, Dorothy Joan

Bergold, Dorothy Joan is an sole proprietor health care provider with primary practice located at 385 Broadway , Revere MA 02151-3033. She recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as her primary health care specialty. Bergold, Dorothy Joan can be contacted via phone (781) 485-1000.

Contact Information

Primary practice address
385 Broadway Revere MA 02151-3033
Phone: (781) 485-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 105125 Massachusetts

Profile Details

NPI number 1902389463
LBN Legal business name Bergold, Dorothy Joan
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2018
Last updated Sep 11th, 2018 - about 8 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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