| Doctor Name: | GAIL MARIE BERGIN |
| NPI Number: | 1033123823 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | NN097771 |
| Business Practice Address: | 211 Essex St Suite 206 Hackensack, NJ - 076013231 |
| Business Phone Number: | 2014419860 |
| Business Fax Number: | 2014419863 |
| Mailing Address: | 211 Essex St, Suite 206 HACKENSACK |
| State: | NJ |
| Postal Code: | 076013231 |
| Phone Number: | 2014419860 |
| Fax Number: | 2014419863 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NN097771 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |