Vera L Bergen PA-C

NPI 1063828937 - Physician Assistant - 363A00000X

NPI Details
NPI 1063828937
Gender Female
Enumeration Date 07/10/2014
Last Updated 09/29/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
337 SOMERVILLE AVE
SOMERVILLE MA, 02143-2914, US
Phone (617) 504-0342
Fax
Business Location
337 SOMERVILLE AVE
SOMERVILLE MA, 02143-2914, US
Phone (617) 504-0342
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Vera L Bergen PA-C NPI is 1063828937, taxonomy code is 363A00000X Vera L Bergen PA-C physically located at 337 Somerville Ave, Somerville MA, 02143-2914. NPI Number Vera L Bergen PA-C has the Individual type.

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1063828937 NPI number is provided on an as is basis without warranty of any kind. 1063828937 is maintained by the National Plan & Provider Enumeration System. The contents of Vera L Bergen PA-C are for informational purposes only.