Marcy Bergeron
Nurse Practitioner
Mgh Bulfinch Medical Group 55 Fruit Street Fnd 3
Boston
, Massachusetts 02114
Marcy Bergeron
Nurse Practitioner
Mgh Bulfinch Medical Group 55 Fruit Street Fnd 3
Boston
, Massachusetts 02114
(617) 724-0287
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Marcy Bergeron
- Mass General Physicians Organization Inc Po Box 9142
- Charlestown, MA
- Zip : 02129-9142
- Phone : (617) 724-0287
Second Address
- Marcy Bergeron
- Mgh Bulfinch Medical Group 55 Fruit Street Fnd 3
- Boston, MA
- Zip : 02114
- Phone : (617) 726-5081
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209505 | ME |
National Provider Identifier
| NPI | 1003981960 |
|---|---|
| Provider Name | Marcy Bergeron |
| First Address | Charlestown, MA 02129-9142 |
| Second Address | Boston, MA 02114 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P11201 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.