Dr EDWARD CARL BERGEN is a male medical professional, specializing in Interventional Cardiology. He graduated in 2002 from Umdnj New Jersey School Of Osteo Medicine.
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
1701 OAK PARK BLVD
LAKE CHARLES
LA
706018911
Tel: 3374943200
| Npi | 1760454391 |
| Pac Id | 6002064581 |
| Professional Enrollment Id | I20160815000962 |
| Last Name | BERGEN |
| First Name | EDWARD |
| Middle Name | CARL |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION |
| Group Practice Pac Id | 3274427695 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 1701 OAK PARK BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 706018911 |
| Phone Number | 3374943200 |
| Hospital Affiliation Ccn 1 | 190060 |
| Hospital Affiliation Lbn 1 | LAKE CHARLES MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 190013 |
| Hospital Affiliation Lbn 2 | WEST CALCASIEU CAMERON HOSPITAL |
| Hospital Affiliation Ccn 3 | 190050 |
| Hospital Affiliation Lbn 3 | BEAUREGARD MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | 191307 |
| Hospital Affiliation Lbn 4 | DEQUINCY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 5 | 190164 |
| Hospital Affiliation Lbn 5 | BYRD REGIONAL HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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