Caruso-Bergman, Marcia

Caruso-Bergman, Marcia is an individual health care provider with primary practice located at 263 Farmington Avenue , Farmington CT 06030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Caruso-Bergman, Marcia can be contacted via phone (860) 679-2100.

Contact Information

Primary practice address
263 Farmington Avenue Farmington CT 06030
Phone: (860) 679-2100
Fax: (860) 679-4451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 003004 Connecticut

Profile Details

NPI number 1053337642
LBN Legal business name Caruso-Bergman, Marcia
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jun 20th, 2022 - about 2 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 1053337642 NPPES
Connecticut MEDICAID 004242111

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