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Contact Information

MIRO BERGAM, MD
94 OLD SHORT HILLS RD
LIVINGSTON, NJ07039-5672
 Phone: 973-322-5512
 Fax: 973-322-8165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MIRO BERGAM · (Male)

NPI # 1104901420
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2006
Last updated 01/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06868600
  • NJ Medicaid 7919409
Hospital affiliation(s)
  • NEWARK BETH ISRAEL MEDICAL CENTER - (Acute Care)
    201 LYONS AVE
    NEWARK, NJ 07112
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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