Boris O Bergus MD

NPI 1013975382 - Emergency Medicine - 207P00000X

NPI Details
NPI 1013975382
Gender Male
Enumeration Date 05/03/2006
Last Updated 09/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2 PARK CENTRAL DR
SUITE 210
SOUTHBOROUGH MA, 01772-1777, US
Phone (508) 481-8346
Fax
Business Location
2 PARK CENTRAL DR
SUITE 210
SOUTHBOROUGH MA, 01772-1777, US
Phone (508) 481-8346
Fax (508) 480-8260
Toxanomy
Taxonomy Code 207P00000X
License State Massachusetts
License Number 79021
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According to our database, Boris O Bergus MD NPI is 1013975382, taxonomy code is 207P00000X and license number is 79021, license state is located at Massachusetts. Boris O Bergus MD physically located at 2 Park Central Dr, Southborough MA, 01772-1777. NPI Number Boris O Bergus MD has the Individual type.

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1013975382 NPI number is provided on an as is basis without warranty of any kind. 1013975382 is maintained by the National Plan & Provider Enumeration System. The contents of Boris O Bergus MD are for informational purposes only.