Wayne Y Bergen, MD
Anesthesiology in Norfolk, VA. Individual provider (NPI-1).
NPI number1720007826
StatusActive
Last updated in NPPESNov 20, 2007
Details
- NPI
- 1720007826
- Entity type
- Individual (NPI-1)
- Name
- Wayne Y Bergen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2006
- Last updated
- Nov 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 101039818 | VA | Yes |
Practice location
600 Gresham DrNorfolk, VA 23507-1904
Phone 757-668-3871
Mailing address
134 Business Park DrVirginia Beach, VA 23462-6523
Phone 757-473-0055
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