Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DOROTHY JOAN BERGOLD, LICSW
Active Sole ProprietorMS. DOROTHY JOAN BERGOLD, LICSW is a Primary Care Clinic healthcare provider located in REVERE, Massachusetts. NPI 1902389463 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · REVERE, MA
Registration Details
- NPI Number
- 1902389463
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2018 (7.9473774908729 yrs)
- Last Updated
- Sep 11, 2018
- License
-
105125 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
385 BROADWAYREVERE, MA, 021513033Browse MA providers · Browse ZIP 02151
- Phone
- 7814851000
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.