Bergin, Ann Marie

Bergin, Ann Marie is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 11, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Bergin, Ann Marie can be contacted via phone (617) 355-6815.

Contact Information

Primary practice address
300 Longwood Ave Fegan 11 Boston MA 02115-5724
Phone: (617) 355-6815
Fax: (617) 730-0463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 207935 Massachusetts
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 207935 Massachusetts

Profile Details

NPI number 1427081280
LBN Legal business name Bergin, Ann Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 20th, 2007 - about 19 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 1427081280 NPPES
Massachusetts MEDICAID 0117285

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