Individual provider · Type 1 NPI

Michael Adam Bergman, PA-C

Medical Physician Assistant · Stamford, CT

NPI number 1134445760 Active

Practice location

30 Shelburne Rd
Stamford, CT 06902-3628

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X013878 (NY)
Medical Physician Assistant Primary 363AM0700X003256 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1134445760

Michael Adam Bergman, PA-C's National Provider Identifier is 1134445760, issued on Apr 7, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stamford, CT. The record was last updated on Feb 12, 2015.