Individual
DR. IRA LAWRENCE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 SEVEN LOCKS RD, STE 111, ROCKVILLE, MD 20854-2957
(301) 762-5020
(301) 294-7569
Mailing address
PO BOX 79632, BALTIMORE, MD 21279-0632
(301) 762-5020
(301) 309-3783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0044157
MD
207RP1001X
Pulmonary Disease Physician
D0044157
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415096100
—
MD
Enumeration date
06/22/2005
Last updated
10/10/2016
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