Individual
NORBERT JOHN BERBERICH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 STATE ROAD, ANESTHESIA INTENSIVE CARE CONSULTANTS INC, CIUCIUNATI, OH 45255
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DRIVE SUITE 258, ANESTHESIA INTENSIVE CARE CONSULTANTS INC, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35060393B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361336
ANTHEM BLUE SHIELD
—
05
—
0931835
—
OH
01
—
4338628
AETNA
—
05
—
64932916
—
KY
Enumeration date
11/15/2005
Last updated
02/20/2008
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