Bergman, Susan Biener

Bergman, Susan Biener is an sole proprietor health care provider with primary practice located at 600 Worcester Rd Suite Ll3, Framingham MA 01702-5356. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bergman, Susan Biener can be contacted via phone (508) 405-4566.

Contact Information

Primary practice address
600 Worcester Rd Suite Ll3 Framingham MA 01702-5356
Fax: (508) 405-4511
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 54458 Massachusetts

Profile Details

NPI number 1669552683
LBN Legal business name Bergman, Susan Biener
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Mar 23rd, 2011 - about 15 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 1669552683 NPPES
Other 2329074 AETNA
Other 376573 AETNA
Other 80207 AETNA
Other 200068365 AETNA
MEDICAID 6195237 AETNA
Other 2309066 AETNA
Other 0005108 AETNA
Other 708500 AETNA
Other J04587 AETNA

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