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1134786346
MICHAEL ADAM BERGEN
PROVIDENCE, RI
NPI
1134786346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: RI MD19990)
Enumeration Date
2019-05-22
Last Update Date
2024-05-28
Business Address
DR. MICHAEL ADAM BERGEN MD
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905-3248
Phone number: 401-443-4205
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Mailing Address
DR. MICHAEL ADAM BERGEN MD
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914-5375
Phone number:
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