Individual
ILYSE G BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
400 WEST BLACKWELL STREET, SAINT CLARE'S HOSPITAL, DOVER, NJ 07801
(973) 989-3000
Mailing address
47 RIVERSIDE DR, DENVILLE, NJ 07834-2153
(973) 519-9167
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00981040
NJ
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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