PHILIP JACOB BERGEN

BROOKFIELD, CT
NPI1235752866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  23.004823)
Enumeration Date2020-05-18
Last Update Date2022-07-29
Business Address
Mr. PHILIP JACOB BERGEN PA-C
60 OLD NEW MILFORD RD STE 3E
BROOKFIELD, CT 06804-2414
Phone number: 203-775-6205
Mailing Address
Mr. PHILIP JACOB BERGEN PA-C
1129 WOLCOTT ST APT 3-12
WATERBURY, CT 06705-1329
Phone number: 203-947-4621
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