Miro Bergam, MD
Anesthesiology in Livingston, New Jersey
1104901420- Practice location
- 94 Old Short Hills RD, Livingston, NJ 07039-5672
- Phone
- 973-322-5512
- Fax
- 973-322-8165
- Last updated
- January 10, 2011
Miro Bergam is an Anesthesiology based in Livingston, NJ. Miro Bergam practices in Livingston, NJ and has the professional credentials of MD. The NPI Number for Miro Bergam is 1104901420 and holds a License No. 25MA06868600 (NJ). The current practice location address for Miro Bergam is 94 Old Short Hills RD, Livingston, NJ 07039-5672 and can be reached out via phone at 973-322-5512 and via fax at 973-322-8165.
Provider Profile Details
- NPI Number
- 1104901420
- Provider Name
- Miro Bergam
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 94 Old Short Hills RD, Livingston, NJ 07039-5672
- Phone Number
- 973-322-5512
- Fax Number
- 973-322-8165
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 26, 2006
- Last Update Date
- January 10, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 94 Old Short Hills RD
Livingston, NJ 07039-5672 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-5672
- Phone Number
- 973-322-5512
- Fax Number
- 973-322-8165
Provider Business Mailing Address Details
- Address
- 25B Vreeland RD
Suite 110
Florham Park, NJ 07932-1900 - City
- Florham Park
- State
- NJ
- Zip
- 07932-1900
- Phone Number
- 973-660-9334
- Fax Number
- 973-660-9779
License Information
- License Number (1)
- 25MA06868600
- License State (1)
- NJ
- Taxonomy (1)
- Anesthesiology · 207L00000X · Primary
- License Number (2)
- 25MA06868600
- License State (2)
- NJ
- Taxonomy (2)
- Anesthesiology, Critical Care Medicine · 207LC0200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Anesthesiology providers near Livingston, NJ
View all Anesthesiology providers in Livingston →Frequently Asked Questions
What is the NPI number of Miro Bergam, MD?
The NPI number of Miro Bergam, MD is 1104901420. It was assigned on October 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Miro Bergam, MD?
Miro Bergam, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number 25MA06868600.
Where does Miro Bergam, MD practice?
The practice location is 94 Old Short Hills RD, Livingston, NJ 07039-5672. The office can be reached at 973-322-5512 (phone) or 973-322-8165 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104901420 directly on the NPPES registry website.