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Individual

JEFFREY HOWARD BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 435-6604
(703) 787-6575
Mailing address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 435-6604
(703) 787-6575

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101057466
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101057466
VA

Other

Enumeration date
07/20/2005
Last updated
07/31/2008
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