Individual
PHILIPPE G BERENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, LN20, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35053045
OH
207R00000X
Internal Medicine Physician
35053045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0636413
—
OH
01
—
110174947
MEDICARE RAILROAD
OH
Enumeration date
11/28/2006
Last updated
09/24/2012
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