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Organization
STEPHEN M. BERG, M.D.
Active
Organization
STEPHEN M. BERG, M.D.
Active
Other names
Internal Medicine of Blue Ash
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUTUMN H THOMAS (PRACTICE MANAGER)
(513) 891-5900
Entity
Organization
Contact information
Practice address
9330 KENWOOD RD, CINCINNATI, OH 45242-6810
(513) 891-5900
(513) 891-0762
Mailing address
9330 KENWOOD RD, CINCINNATI, OH 45242-6810
(513) 891-5900
(513) 891-0762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47549
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010014039
RAILROAD MEDICARE
OH
05
—
0553726
—
OH
01
—
9315621
MEDICARE GROUP NUMBER
OH
Enumeration date
11/21/2007
Last updated
09/18/2014
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