DR. Russ S Bergman, DMD
NPI #1942397732 in Newark, New Jersey
Provider Information
- NPI Number
- 1942397732
- Entity Type
- Individual
- Name
- DR. Russ S Bergman, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Aug 17, 2010
Practice Location
- Address
- 201 LYONS AVE
- Address 2
- NEWARK BETH ISRAEL MEDICAL CENTER, DEPT OF DENTISTRY
- City
- Newark
- State
- New Jersey
- ZIP Code
- 07112-2027
- Phone
- (973) 926-7642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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