Individual
DR. KEVIN JAMES BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
799 BLOOMFIELD AVE, SUITE 201, VERONA, NJ 07044-1367
(973) 746-7050
(973) 259-3569
Mailing address
799 BLOOMFIELD AVE, SUITE 201, VERONA, NJ 07044-1367
(973) 746-7050
(973) 259-3569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA08660100
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MA08660100
NJ
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
25MA08660100
NJ
Other
Enumeration date
05/19/2008
Last updated
03/01/2016
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