Bergen, Blair Alexander

Bergen, Blair Alexander is an individual health care provider with primary practice located at 2500 English Creek Ave Bldg 200 Suite214, Egg Harbor Township NJ 08234-5549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bergen, Blair Alexander can be contacted via phone (609) 677-7211.

Contact Information

Primary practice address
2500 English Creek Ave Bldg 200 Suite214 Egg Harbor Township NJ 08234-5549
Phone: (609) 677-7211
Fax: (609) 677-7210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA04675800 New Jersey

Profile Details

NPI number 1881775658
LBN Legal business name Bergen, Blair Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Dec 1st, 2008 - about 18 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 1881775658 NPPES
New Jersey MEDICAID 3612007

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