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NPI Code Detail

MEDICARE: DR. MARTA BERGESE MD

MEDICARE: DR. MARTA BERGESE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician35-076518BOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000211188OTHEROHANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37209300OTHEROHAETNA
42900919OTHEROHUNITED HEALTHCARE

General Provider Information

NPI Number : 1922091537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTA BERGESE MD
Provider Business Mailing Address
First Line : 1211 DUBLIN RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1091
Country : US
Telephone Number : 614-486-5207
Fax Number :
Provider Business Practice Location Address
First Line : 1211 DUBLIN RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1091
Country : US
Telephone Number : 614-486-5207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MARTA BERGESE MD” Practice Location

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