Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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DR. MICHELE SHOSHANA BERGEN D.M.D., M.D.

Surgery Yellow Pages

Greenwich, Connecticut

Provider NPI: 1215929286

Provider Information:
DR. MICHELE SHOSHANA BERGEN D.M.D., M.D.


Practice Location:
49 LAKE AVE  GREENWICH, CT 06830 US
Tel: 203-661-4231  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
NY050181
N204E00000XPhysicians
Oral & Maxillofacial Surgery
NY231685
Y1223S0112XDental Providers
Dentist
CT009275
N204E00000XPhysicians
Oral & Maxillofacial Surgery
CT042206

Other Provider Identifiers:

IssuerNumberStateType
001422063CT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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