| Bergand Group | |
|
1803 Harford Rd Fallston MD 21047 | |
| (410) 853-7691 | |
| (443) 519-5167 |
| Full Name | Bergand Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1803 Harford Rd, Fallston, Maryland |
| Authorized Official Name and Position | Craig Howard Lippens (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4108537691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergand Group 1803 Harford Rd Fallston MD 21047-2501 Ph: (410) 853-7691 | Bergand Group 1803 Harford Rd Fallston MD 21047 Ph: (410) 853-7691 |
| NPI Number | 1871999276 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 06/29/2018 |
| Medicare PECOS PAC ID | 1052722824 |
|---|---|
| Medicare Enrollment ID | O20201130001822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871999276 | NPI | - | NPPES |
| 942926 | Medicaid | MD |
| Provider Name | Robert E Korman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821030727 PECOS PAC ID: 0042335382 Enrollment ID: I20100910000091 |
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