AILEEN ELIZABETH BERGEN

VIRGINIA BEACH, VA
NPI1003130402
Former NameAILEEN ELIZABETH WAWRZASZEK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110003549)
Additional Taxonomies363A00000X Physician Assistant
(Licence: VA  0110003549)
363A00000X Physician Assistant
(Licence: NY  013890)
363AS0400X Physician Assistant, Surgical
(Licence: SC  2508)
363A00000X Physician Assistant
(Licence: TN  PA2523)
Enumeration Date2010-03-15
Last Update Date2024-01-19
Business Address
Mrs. AILEEN ELIZABETH BERGEN PA
1800 CAMELOT DR STE 300
VIRGINIA BEACH, VA 23454-2440
Phone number: 757-321-3300
Mailing Address
Mrs. AILEEN ELIZABETH BERGEN PA
230 CLEARFIELD AVE STE 124
VIRGINIA BEACH, VA 23462-1832
Phone number: 757-321-3383