Individual provider · Type 1 NPI

James T. Bergen, PA-C

Medical Physician Assistant · Camden, NJ

NPI number 1104914712 Active

Practice location

3 Cooper Plz, Suite 311
Camden, NJ 08103-1438

Fax (856) 342-6608

Mailing address

1 Cooper Plz, 3 Dorrance
Camden, NJ 08103-1461

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMP00106 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1104914712

James T. Bergen, PA-C's National Provider Identifier is 1104914712, issued on Oct 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Camden, NJ. The record was last updated on Sep 24, 2010.