# GLEN W. BERGER, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891950796
- **Authorized official:** GLEN W. BERGER M.D. (PRESIDENT)
- **Authorized official phone:** (201) 444-9405

## Contact information

- **Practice address:** 110 WARREN AVE, SUITE 5, HO HO KUS, NJ 07423-1566
- **Practice address phone:** (201) 444-9405
- **Practice address fax:** (201) 444-9408
- **Mailing address:** 110 WARREN AVE, SUITE 5, HO HO KUS, NJ 07423-1566
- **Mailing address phone:** (201) 444-9405
- **Mailing address fax:** (201) 444-9408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA06271300 | NJ | Yes |

## Other

- **Enumeration date:** 07/21/2008
- **Last updated:** 09/06/2012