| The Bergand Group Llc | |
|
1300 York Rd Lutherville MD 21093-6016 | |
| (410) 853-7691 | |
| Not Available |
| Full Name | The Bergand Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 1300 York Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Craig Howard Lippens (DIRECTOR) |
| Authorized Official Contact | 4108537691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bergand Group Llc 1300 York Rd Lutherville MD 21093-6016 Ph: (410) 853-7691 | The Bergand Group Llc 1300 York Rd Lutherville MD 21093-6016 Ph: (410) 853-7691 |
| NPI Number | 1063997708 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 09/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063997708 | NPI | - | NPPES |
| 990845 | Medicaid | MD | |
| 741082 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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