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General NPI Number Information
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NPI Number | 1396153920
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Entity Type | Organization
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Legal Business Name | DONALD A. BERGMAN MD PC
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 1199 PARK AVE SUITE 1F
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City | NEW YORK
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State | NY
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Zip | 10128-1713
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Country | US
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Telephone | 212-876-7333
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Fax | 212-876-5351
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Provider Business Mailing Address
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Address Line | 1199 PARK AVE SUITE 1F
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City | NEW YORK
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State | NY
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Zip | 10128-1713
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Country | US
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Telephone | 212-876-7333
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Fax | 212-876-5351
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Authorized Official
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Title or Position | OWNER
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Name | DONALD A. BERGMAN
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Credential | M.D.
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Telephone | 212-876-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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