Organization
ENT BY THE SEA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS JOEL BERG M.D. (OWNER)
(302) 231-2039
Entity
Organization
Contact information
Practice address
39 WEST CLARKE AVE., MILFORD, DE 19963
(302) 231-2039
(302) 231-2139
Mailing address
PO BOX 304, MILFORD, DE 19963-0304
(302) 422-3377
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C10006475
DE
Other
Enumeration date
10/02/2006
Last updated
08/22/2007
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