Individual provider · Type 1 NPI

Eric Bergman, MPAS08-AMC

Medical Physician Assistant · New Haven, CT

NPI number 1891917381 Active

Practice location

20 York St, CB-2041
New Haven, CT 06510-3220

Fax (203) 688-4741

Mailing address

20 York Street CB-2041
New Haven, CT 06510

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X002113 (CT)
Physician Assistant 363A00000X002113 (CT)
Medical Physician Assistant Primary 363AM0700X002113 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1891917381

Eric Bergman, MPAS08-AMC's National Provider Identifier is 1891917381, issued on May 3, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Apr 3, 2015.