Organization
BURGESS L. BERLIN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURGESS L. BERLIN (PRESIDENT)
(973) 761-7755
Entity
Organization
Contact information
Practice address
125 PROSPECT ST, SOUTH ORANGE, NJ 07079-1801
(973) 761-7755
(973) 761-6290
Mailing address
125 PROSPECT ST, SOUTH ORANGE, NJ 07079-1801
(973) 761-7755
(973) 761-6290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA30653
NJ
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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