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Individual

DR. HARRY T BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
281 N 12TH ST, SUITE B, LEHIGHTON, PA 18235-1101
(610) 377-7793
(610) 377-9241
Mailing address
1605 N CEDAR CREST BLVD, SUITE 110B, ALLENTOWN, PA 18104-2351
(610) 973-1410
(610) 973-1449

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD021112E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00079839000003
PA
01
01056102
CAPITAL BLUE CROSS
PA
01
086604
HIGHMARK PA BLUE SHIELD
PA
01
110190143
PALMETTO GBA MEDICARE
PA
Enumeration date
05/10/2006
Last updated
01/06/2011
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