Individual provider · Type 1 NPI
Dorothy Joan Bergold, LICSW
Primary Care Clinic/Center · Revere, MA
NPI number
1902389463
Active
Practice location
385 Broadway
Revere, MA 02151-3033
Mailing address
13 Hersam St
Stoneham, MA 02180-2441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 105125 (MA) |
Primary Care Clinic/Center: Definition to come...
8 other providers at this address
- Louis Devito, Jr. DMDDentist Revere, MA NPI 1265602791
- Chiara McCarthyPediatric Nurse Practitioner Revere, MA NPI 1548843501
- Erin Anderson, MPTOrthopedic Physical Therapist Revere, MA NPI 1396961942
- Leigh Page Loftus, PTAPhysical Therapy Assistant Revere, MA NPI 1295026920
- Louis Devito Jr., DMDDentist Revere, MA NPI 1710084777
- Margaret SeleskyStudent in an Organized Health Care Education/Training Program Revere, MA NPI 1225730963
- Sean M. Flaherty, P.T.Orthopedic Physical Therapist Revere, MA NPI 1619194917
- Seth A. Berkowitz, MDInternal Medicine Physician Revere, MA NPI 1265769392
About NPI 1902389463
Dorothy Joan Bergold, LICSW's National Provider Identifier is 1902389463, issued on Sep 11, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Revere, MA. The record was last updated on Sep 11, 2018.